Active NPI
Ulises Uriel Lagunas
- Athletic Trainer
- Nashville, TN
National Provider Identifier
1205540713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 2627
- Practice address
- 500 Interstate Blvd S
Nashville, TN 37210-4634 - Phone
- (615) 750-8800
- NPI assigned
- Jan 9, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prevention Professional | 405300000X | 2627 | TN | |
| Athletic Trainer | 2255A2300X | 2627 | TN | Primary |
Addresses
Primary practice location
500 Interstate Blvd S
Nashville, TN 37210-4634
Mailing address
500 Interstate Blvd S
Nashville, TN 37210-4634
Phone (615) 750-8800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 146892434 | Other | TN | N/A |
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 |
|---|---|---|---|
| 2627 | TN | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673222400000",
"number": "1205540713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 INTERSTATE BLVD S",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372104634",
"telephone_number": "615-750-8800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 INTERSTATE BLVD S",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372104634",
"telephone_number": "615-750-8800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAGUNAS",
"first_name": "ULISES",
"middle_name": "URIEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-01-09",
"last_updated": "2023-01-09",
"certification_date": "2023-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "405300000X",
"taxonomy_group": "",
"desc": "Prevention Professional",
"state": "TN",
"license": "2627",
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "TN",
"license": "2627",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "N/A",
"identifier": "146892434",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.