Heather Leigh Thomas, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

320823 Issued in LA

Practice address

2030 14TH St BLDG 1830
Fort Polk, LA 71459-5302

Phone

(559) 908-5545

NPI assigned

Feb 15, 2022

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1644883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644883200000",
    "number": "1124773569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 MARJORIE ST",
            "city": "LONG BEACH",
            "state": "MS",
            "postal_code": "395605349",
            "telephone_number": "228-313-1680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 14TH ST BLDG 1830",
            "city": "FORT POLK",
            "state": "LA",
            "postal_code": "714595302",
            "telephone_number": "559-908-5545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "HEATHER",
        "middle_name": "LEIGH",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-15",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "LA",
            "license": "320823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Desiree C Stout
• Robert Charles Strickland, CRNA
• Paul Swindle Jr., RN, CCM
• Dona Taherizadegan, DDS
• Benjamin Hugh Tan
• Lesli Kaaryn Thomas, DO
• Stephanie Dyane Thomas, DDS
• Sandra Thompson
• Malcolm Edward Thornton, D.M.D.
• Laurel Ashlin Thurston, MD

• Athletic Trainer in Fort Polk, LA
• Providers in Fort Polk, LA by specialty
• Athletic Trainer in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.