Audrey Brittney Carrisalez

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Dickinson, TX

NPI 1063360428 · NPPES record last updated Mar 19, 2026

Key facts

NPI
1063360428
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
3246 Lost Colony CT
Dickinson, TX 77539-8488
Phone
(281) 788-9217
NPI assigned
Mar 19, 2026
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

3246 Lost Colony CT
Dickinson, TX 77539-8488

Mailing address

3246 Lost Colony CT
Dickinson, TX 77539-8488
Phone (281) 788-9217

Other providers in Dickinson, TX

All providers in Dickinson, TX · Student in an Organized Health Care Education/Training Program in Texas

Sources for this page

Verify at the official NPI Registry.