Active NPI
Yong Woo An, ATC
- Athletic Trainer
- Las Cruces, NM
National Provider Identifier
1154849412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 1652 Stewart St
Las Cruces, NM 88003 - Phone
- (575) 646-1636
- NPI assigned
- Sep 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 | NM | Primary |
Addresses
Primary practice location
1652 Stewart St
Las Cruces, NM 88003
Mailing address
MSC 3Fac P. O. Box 30001
Room219
Las Cruces, NM 88003-8001
Phone (575) 646-1636
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1505088000000",
"number": "1154849412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "MSC 3FAC P. O. BOX 30001",
"address_2": "ROOM219",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880038001",
"telephone_number": "575-646-1636",
"fax_number": "575-646-3564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1652 STEWART ST",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "88003",
"telephone_number": "575-646-1636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AN",
"first_name": "YONG WOO",
"name_prefix": "Prof.",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-09-06",
"last_updated": "2017-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NM",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Cruces, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.