Active NPI
Teagen Hay
- Athletic Trainer
- Philadelphia, PA
National Provider Identifier
1194338517
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- J3-0010897
- Practice address
- 4201 Henry Ave
Philadelphia, PA 19144-5409 - Phone
- (609) 442-6342
- NPI assigned
- Aug 25, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Athletic Trainer | 2255A2300X | J3-0010897 | DE | Primary |
| Athletic Trainer | 2255A2300X |
Addresses
Primary practice location
4201 Henry Ave
Philadelphia, PA 19144-5409
Mailing address
16 Hilltop Cir
Mays Landing, NJ 08330-4901
Phone (609) 442-6342
Other practice location 1
16 Hilltop Cir
Mays Landing, NJ 08330-4901
Phone (609) 442-6342
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Philadelphia |
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 |
|---|---|---|---|
| J3-0010897 | DE | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598313600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657670400000",
"number": "1194338517",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 HILLTOP CIR",
"city": "MAYS LANDING",
"state": "NJ",
"postal_code": "083304901",
"telephone_number": "609-442-6342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4201 HENRY AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191445409",
"telephone_number": "609-442-6342"
}
],
"practiceLocations": [
{
"address_1": "16 Hilltop Cir",
"address_purpose": "LOCATION",
"city": "Mays Landing",
"state": "NJ",
"postal_code": "083304901",
"country_code": "US",
"telephone_number": "609-442-6342",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAY",
"first_name": "TEAGEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-25",
"last_updated": "2022-07-13",
"certification_date": "2022-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "DE",
"license": "J3-0010897",
"primary": true
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Philadelphia",
"affiliation": "N",
"address_1": "125 Krams Ave",
"city": "Philadelphia",
"state": "PA",
"country_code": "US",
"postal_code": "191272010",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.