Individual provider Active NPI

Baylee Houston, MS, LAT, ATC

  • Athletic Trainer
  • Memphis, TN
National Provider Identifier
1174163802
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
2801 Issued in AL
Practice address
446 Autumn Falls Dr
Memphis, TN 38112-1047
Phone
(425) 422-9481
NPI assigned
Jan 10, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X A161179767 WA
Athletic Trainer 2255A2300X
Athletic Trainer 2255A2300X 124022534810 UT
Athletic Trainer 2255A2300X ATR-LAT-LIC-2487 MT
Athletic Trainer 2255A2300X 2801 AL Primary

Addresses

Primary practice location

446 Autumn Falls Dr
Memphis, TN 38112-1047

Mailing address

3601 Rockefeller Ave
Everett, WA 98201-4729
Phone (425) 422-9481

Other practice location 1

2242 Baxter Ln Apt 6
Bozeman, MT 59718-8067
Phone (425) 422-9481

Other practice location 2

#1 Bobcat Circle
Bozeman, MT 59717
Phone (425) 422-9481

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

LicenseStateTypeSpecialty
2801ALMDAthletic Trainer
ATR-LAT-LIC-2487MTMDAthletic Trainer
124022534810UTMDAthletic Trainer
A161179767WAMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1578614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1174163802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 ROCKEFELLER AVE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982014729",
            "telephone_number": "425-422-9481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "446 AUTUMN FALLS DR",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381121047",
            "telephone_number": "425-422-9481"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2242 Baxter Ln Apt 6",
            "address_purpose": "LOCATION",
            "city": "Bozeman",
            "state": "MT",
            "postal_code": "597188067",
            "country_code": "US",
            "telephone_number": "425-422-9481",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "#1 Bobcat Circle",
            "address_purpose": "LOCATION",
            "city": "Bozeman",
            "state": "MT",
            "postal_code": "59717",
            "country_code": "US",
            "telephone_number": "425-422-9481",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOUSTON",
        "first_name": "BAYLEE",
        "credential": "MS, LAT, ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-10",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "WA",
            "license": "A161179767",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "UT",
            "license": "124022534810",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MT",
            "license": "ATR-LAT-LIC-2487",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "AL",
            "license": "2801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; 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.