Individual provider Active NPI

Tyler Christian Hinkle, LAT, ATC

  • Athletic Trainer
  • Gainesville, FL
National Provider Identifier
1154829075
Registry record updated Dec 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
AL5315 Issued in FL
Practice address
Lemerand Center
2214 Stadium Rd
Gainesville, FL 32611-3261
Phone
(352) 692-6535
NPI assigned
Jan 25, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X AL5315 FL Primary

Addresses

Primary practice location

Lemerand Center
2214 Stadium Rd
Gainesville, FL 32611-3261

Mailing address

3825 SW 6TH PL
Gainesville, FL 32607-2721
Phone (804) 972-0000

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

State licenses

LicenseStateTypeSpecialty
AL5315FLMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1516838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544486400000",
    "number": "1154829075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3825 SW 6TH PL",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326072721",
            "telephone_number": "804-972-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LEMERAND CENTER",
            "address_2": "2214 STADIUM RD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326113261",
            "telephone_number": "352-692-6535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINKLE",
        "first_name": "TYLER",
        "middle_name": "CHRISTIAN",
        "name_prefix": "Mr.",
        "credential": "LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-25",
        "last_updated": "2018-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "AL5315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2018; 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.