Active NPI
Ryan Hyde, MS, LAT, ATC
- Athletic Trainer
- Dover, DE
National Provider Identifier
1144730813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- J3-0000588
- Practice address
- 68 Representative LN
Dover, DE 19904-2491 - Phone
- (301) 693-5951
- NPI assigned
- Oct 6, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | J3-0000588 | DE | Primary |
Addresses
Primary practice location
68 Representative LN
Dover, DE 19904-2491
Mailing address
68 Representative LN
Dover, DE 19904-2491
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| J3-0000588 | Other | DE | DELAWARE STATE LICENSED ATHLETIC TRAINER |
| 2000016850 | Other | CERTIFIED 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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J3-0000588 | DE | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1507248000000",
"number": "1144730813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "68 REPRESENTATIVE LN",
"city": "DOVER",
"state": "DE",
"postal_code": "199042491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "68 REPRESENTATIVE LN",
"city": "DOVER",
"state": "DE",
"postal_code": "199042491",
"telephone_number": "301-693-5951"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HYDE",
"first_name": "RYAN",
"credential": "MS, LAT, ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-10-06",
"last_updated": "2017-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "DE",
"license": "J3-0000588",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DELAWARE STATE LICENSED ATHLETIC TRAINER",
"identifier": "J3-0000588",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CERTIFIED ATHLETIC TRAINER",
"identifier": "2000016850",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Dover, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.