Shyla Flavel, MAT, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

1201 Wesleyan St
Fort Worth, TX 76105-1536

Phone

(871) 531-7590

NPI assigned

May 29, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1590710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654992000000",
    "number": "1083238646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1022 W RECESS WAY",
            "city": "KUNA",
            "state": "ID",
            "postal_code": "836342459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 WESLEYAN ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761051536",
            "telephone_number": "871-531-7590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLAVEL",
        "first_name": "SHYLA",
        "credential": "MAT, LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-29",
        "last_updated": "2022-06-12",
        "certification_date": "2022-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colton James Flaherty
• James Flaherty
• Amanda Diane Flaming, LPC
• Stephanie Flammini
• Lavonda Flannigan
• Nathan Fleck, CRNA
• Claire Fleenor
• Katie Ann Fleming, LPC
• Laura D. Fleming, M.S.
• Katrina Renee Flemister, BCBA

• Athletic Trainer in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Athletic Trainer in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2022; 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.