Shaylee Jade Fouts, MED, ATC, LAT, PES

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT7166 Issued in TX

Practice address

7050 Air Depot Blvd
Tinker AFB, OK 73145-8716

Phone

(405) 734-9595

NPI assigned

Nov 14, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

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

{
    "created_epoch": "1573689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687478400000",
    "number": "1194360008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3731 STONERIDGE DR",
            "city": "FLINT",
            "state": "TX",
            "postal_code": "757626942",
            "telephone_number": "308-991-6306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7050 AIR DEPOT BLVD",
            "city": "TINKER AFB",
            "state": "OK",
            "postal_code": "731458716",
            "telephone_number": "405-734-9595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOUTS",
        "first_name": "SHAYLEE",
        "middle_name": "JADE",
        "credential": "MED, ATC, LAT, PES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-14",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "AT7166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Ryan Emmerthal
• Peter Mitchell Estrada, DAT, LAT, ATC, BCS-O
• George Leonard Ettel III, DO
• Audra Feisal, LCSW
• Misty Spring Evelyn Foley-McKenna, LCSW
• Stacey Anne Frazier, MD
• Clayton Franklin Fuqua, MD
• Jason Garner, MD
• Ramiro Alexander Garrido, PT
• Mark Gosnell Jr., IDMT

• Athletic Trainer in Tinker AFB, OK
• Providers in Tinker AFB, OK by specialty
• Athletic Trainer in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2023; 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.