Individual provider Active NPI

Alia Ware, MS LAT ATC CES FMS

  • Athletic Trainer
  • Nellis Afb, NV
National Provider Identifier
1174908412
Registry record updated Jun 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
Practice address
4280 Tyndall Ave
Nellis Afb, NV 89191-6056
Phone
(000) 000-0000
NPI assigned
Jul 28, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X Primary

Addresses

Primary practice location

4280 Tyndall Ave
Nellis Afb, NV 89191-6056

Mailing address

4280 Tyndall Ave
Nellis Afb, NV 89191-6056

Other practice location 1

61 S Sandusky St
Delaware, OH 43015-2333
Phone (740) 368-2000

Other practice location 2

4505 S Maryland Pkwy
Las Vegas, NV 89154-9900
Phone (303) 903-9762

Other identifiers 2

IdentifierTypeStateIssuer
05065016OtherNVNEVADA BOARD OF ATHLETIC TRAINERS
284921OtherATHLETIC TRAINING BOARD OF CERTIFICATION

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

NPI Registry JSON

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

{
    "created_epoch": "1438041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623283200000",
    "number": "1174908412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4280 TYNDALL AVE",
            "city": "NELLIS AFB",
            "state": "NV",
            "postal_code": "891916056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4280 TYNDALL AVE",
            "city": "NELLIS AFB",
            "state": "NV",
            "postal_code": "891916056",
            "telephone_number": "000-000-0000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "61 S Sandusky St",
            "address_purpose": "LOCATION",
            "city": "Delaware",
            "state": "OH",
            "postal_code": "430152333",
            "country_code": "US",
            "telephone_number": "740-368-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4505 S Maryland Pkwy",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891549900",
            "country_code": "US",
            "telephone_number": "303-903-9762",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARE",
        "first_name": "ALIA",
        "credential": "MS LAT ATC CES FMS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-28",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEVADA BOARD OF ATHLETIC TRAINERS",
            "identifier": "05065016",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ATHLETIC TRAINING BOARD OF CERTIFICATION",
            "identifier": "284921",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nellis Afb, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2021; 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.