Individual provider Active NPI

Caitlin Taylor Hall, MS, ATC, LAT

  • Athletic Trainer
  • Wichita Falls, TX
National Provider Identifier
1184033318
Registry record updated Aug 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
AT5320 Issued in TX
Practice address
3410 Taft Blvd
D.L. Ligon Coliseum 159
Wichita Falls, TX 76308-2036
Phone
(940) 397-4848
NPI assigned
Aug 13, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2014

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 AT5320 TX Primary

Addresses

Primary practice location

3410 Taft Blvd
D.L. Ligon Coliseum 159
Wichita Falls, TX 76308-2036

Mailing address

3919 Barnett Rd
Apt. 628
Wichita Falls, TX 76310-1725
Phone (254) 291-2492

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
AT5320TXMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1407888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407888000000",
    "number": "1184033318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3919 BARNETT RD",
            "address_2": "APT. 628",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763101725",
            "telephone_number": "254-291-2492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3410 TAFT BLVD",
            "address_2": "D.L. LIGON COLISEUM 159",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763082036",
            "telephone_number": "940-397-4848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "CAITLIN",
        "middle_name": "TAYLOR",
        "credential": "MS, ATC, LAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-13",
        "last_updated": "2014-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "AT5320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita Falls, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2014; 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.