Active NPI
Robert James Creech, LAT
- Athletic Trainer
- Gainesville, TX
National Provider Identifier
1164909180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT6247
- Practice address
- 905 E Highway 82 Ste 130
Gainesville, TX 76240-2269 - Phone
- (940) 612-1821
- Fax
- (940) 612-1837
- NPI assigned
- Jul 23, 2018
- Last updated
- Jul 23, 2018
- 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 | AT6247 | TX | Primary |
Addresses
Primary practice location
905 E Highway 82 Ste 130
Gainesville, TX 76240-2269
Mailing address
1200 Corporate Dr Ste 400
Birmingham, AL 35242-5424
Phone (423) 238-7217
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
| License | State | Type | Specialty |
|---|---|---|---|
| AT6247 | TX | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532304000000",
"number": "1164909180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 CORPORATE DR STE 400",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352425424",
"telephone_number": "423-238-7217",
"fax_number": "423-238-3473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "905 E HIGHWAY 82 STE 130",
"city": "GAINESVILLE",
"state": "TX",
"postal_code": "762402269",
"telephone_number": "940-612-1821",
"fax_number": "940-612-1837"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CREECH",
"first_name": "ROBERT",
"middle_name": "JAMES",
"credential": "LAT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-07-23",
"last_updated": "2018-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "TX",
"license": "AT6247",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gainesville, TX
- Amber Cordero, FNP-C
- Cornerstone Caregiving West LLC
- County of Cooke
- County of Throckmorton (Avir at Gainesville)
- Mark Allen Cox, D.C.
- Custom Dental of Gainesville PLLC
- CVS Pharmacy Inc (CVS Pharmacy #06901)
- Dallas County Hospital District (Avir at River Valley)
- Dallas County Hospital District
- Allyson Marie Dalley, LPC-S
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.