Active NPI
Diana Lynn Marseilles, MS, LAT, ATC
- Athletic Trainer
- Oceanside, CA
National Provider Identifier
1164904322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- LAT-4637
- Practice address
- 200 Mercy Circle
Oceanside, CA 92055-3168 - Phone
- (770) 713-0545
- NPI assigned
- Sep 4, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Athletic Trainer | 2255A2300X | LAT-4637 | NC | Primary |
Addresses
Primary practice location
200 Mercy Circle
Oceanside, CA 92055-3168
Mailing address
11541 Windcrest LN Apt 178
San Diego, CA 92128-4240
Other practice location 1
200 Concord Plaza Dr Ste 780
San Antonio, TX 78216-6972
Phone (770) 713-0545
Other names 1
- Diana Lynn Schulze
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 |
|---|---|---|---|
| LAT-4637 | NC | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662422400000",
"number": "1164904322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11541 WINDCREST LN APT 178",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921284240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 MERCY CIRCLE",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920553168",
"telephone_number": "770-713-0545"
}
],
"practiceLocations": [
{
"address_1": "200 Concord Plaza Dr Ste 780",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "782166972",
"country_code": "US",
"telephone_number": "770-713-0545",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARSEILLES",
"first_name": "DIANA",
"middle_name": "LYNN",
"credential": "MS, LAT, ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-09-04",
"last_updated": "2022-09-06",
"certification_date": "2022-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"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": "NC",
"license": "LAT-4637",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DIANA",
"last_name": "SCHULZE",
"middle_name": "LYNN",
"credential": "MS, LAT, ATC",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Oceanside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.