Individual provider Active NPI

Amy Michelle Salinas

  • Athletic Trainer
  • Conroe, TX
National Provider Identifier
1053771253
Registry record updated Mar 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
2000009934 Issued in TX
Practice address
27330 Oak Ridge School Rd
Conroe, TX 77385-9042
Phone
(832) 592-5562
NPI assigned
Mar 1, 2016
Last updated
Mar 1, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 2000009934 TX Primary

Addresses

Primary practice location

27330 Oak Ridge School Rd
Conroe, TX 77385-9042

Mailing address

5402 FM 1488 Rd
Apt 521
Magnolia, TX 77354-3583
Phone (956) 205-8548

Other identifiers 2

IdentifierTypeStateIssuer
2000009934OtherTXBOARD OF CERTIFICATION FOR ATHLETIC TRAINERS
AT5244OtherTXADVISORY BOARD OF ATHLETIC TRAINERS - LICENSED ATHLETIC TRAINER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2000009934TXMDAthletic Trainer

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1456790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456790400000",
    "number": "1053771253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5402 FM 1488 RD",
            "address_2": "APT 521",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773543583",
            "telephone_number": "956-205-8548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27330 OAK RIDGE SCHOOL RD",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773859042",
            "telephone_number": "832-592-5562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALINAS",
        "first_name": "AMY",
        "middle_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-01",
        "last_updated": "2016-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "2000009934",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF CERTIFICATION FOR ATHLETIC TRAINERS",
            "identifier": "2000009934",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVISORY BOARD OF ATHLETIC TRAINERS - LICENSED ATHLETIC TRAINER",
            "identifier": "AT5244",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.