Active NPI
Christopher Nieves, ATC, LAT
- Athletic Trainer
- Mansfield, TX
National Provider Identifier
1174005359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT6559
- Practice address
- 2801 E Broad St
Mansfield, TX 76063-9128 - Phone
- (817) 375-5289
- NPI assigned
- Sep 4, 2018
- Last updated
- Sep 4, 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 | AT6559 | TX | Primary |
Addresses
Primary practice location
2801 E Broad St
Mansfield, TX 76063-9128
Mailing address
6058 Copperfield Dr Apt 909
Fort Worth, TX 76132-4807
Phone (516) 424-1756
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 |
|---|---|---|---|
| AT6559 | TX | 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": "1536019200000",
"number": "1174005359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6058 COPPERFIELD DR APT 909",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761324807",
"telephone_number": "516-424-1756"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2801 E BROAD ST",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "760639128",
"telephone_number": "817-375-5289"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIEVES",
"first_name": "CHRISTOPHER",
"credential": "ATC, LAT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-09-04",
"last_updated": "2018-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "TX",
"license": "AT6559",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mansfield, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.