Adrian Clint Estrada

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT-2024-0002 Issued in NM

Practice address

21255 Light Infantry Rd
Fort Bliss, TX 79918-8074

Phone

(575) 640-1346

NPI assigned

Nov 11, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1636588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763942400000",
    "number": "1205592409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 WELLS ST",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880031304",
            "telephone_number": "575-640-1346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21255 LIGHT INFANTRY RD",
            "city": "FORT BLISS",
            "state": "TX",
            "postal_code": "799188074",
            "telephone_number": "575-640-1346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTRADA",
        "first_name": "ADRIAN",
        "middle_name": "CLINT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-11-11",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "AT9926",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NM",
            "license": "AT-2024-0002",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Douglas Eckhoff, MD
• Rodnel Jean Eldor
• Jasmine English
• David Alonso Erives Rosas, MD
• David J Esquivel, OTR, CHT
• John Troy Evans, PA-C
• Ricardo E Fabrega, MD
• Eric Fellin, DO
• Ricardo Fernandez, BSN
• Cecilia Fierro, ATC

• Athletic Trainer in Fort Bliss, TX
• Providers in Fort Bliss, TX by specialty
• Athletic Trainer in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2025; 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.