Zachery Dale Standiford, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

324095 Issued in LA

Practice address

468 Caspari Drive
Natchitoches, LA 71497-4271

Phone

(318) 357-4035

NPI assigned

Oct 17, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

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": "1539734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597190400000",
    "number": "1144796145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 BERTHA ST",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705709735",
            "telephone_number": "337-692-5742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "468 CASPARI DRIVE",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "714974271",
            "telephone_number": "318-357-4035"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225 Cajundome Blvd",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "LA",
            "postal_code": "705064271",
            "country_code": "US",
            "telephone_number": "337-482-5681",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STANDIFORD",
        "first_name": "ZACHERY",
        "middle_name": "DALE",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-17",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "LA",
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "LA",
            "license": "324095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marilynn Weisbach Spence
• Jacob Spielbauer
• Damion Spillman, PTA
• Stephanie Spradley, PHARM.D.
• St. Gabriel Speech-Language Pathology
• Kyle Gibson Stevens, PHARMD
• Kelvin Stewart
• Rhonda Faye Stewart
• Cheryl Turyn Stoker, O.D.
• Luke Andrew Storrs, DPT

• Athletic Trainer in Natchitoches, LA
• Providers in Natchitoches, LA by specialty
• Athletic Trainer in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2020; 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.