Taylar Mata, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

8501 FM 407
Double Oak, TX 75077-3031

Phone

(972) 966-1980

NPI assigned

Jun 4, 2017

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

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

{
    "created_epoch": "1496534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496534400000",
    "number": "1215465240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 W OLD PLANK RD APT 105",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652032078",
            "telephone_number": "682-622-9235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8501 FM 407",
            "city": "DOUBLE OAK",
            "state": "TX",
            "postal_code": "750773031",
            "telephone_number": "972-966-1980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATA",
        "first_name": "TAYLAR",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-04",
        "last_updated": "2017-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsie Kelso, CNP
• Kristine Licensed Surgical Assistant
• Kristine C. Krueger, CST/CSA
• Holli Marie Landin, PA-C
• Lacy E Martinez, APRN
• Jacquelyn Dee McLain, M.S. CCC-SLP
• Aisha Mir, PA-C
• North Texas Emergency Physicians, PA
• Esther Yejin Pak, FNP
• Bijal Patel, FNP

• All providers in Double Oak, TX
• Athletic Trainer in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2017; 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.