Active NPI
Kevin Blasczienski
- Athletic Trainer
- Euless, TX
National Provider Identifier
1225499304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT5135
- Practice address
- 12737 Sweet Bay Dr
Euless, TX 76040-3440 - Phone
- (716) 491-9193
- NPI assigned
- Mar 16, 2016
- Last updated
- Mar 16, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AT5135 | TX | Primary |
Addresses
Primary practice location
12737 Sweet Bay Dr
Euless, TX 76040-3440
Mailing address
12737 Sweet Bay Dr
Euless, TX 76040-3440
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 |
|---|---|---|---|
| AT5135 | TX | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458086400000",
"number": "1225499304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12737 SWEET BAY DR",
"city": "EULESS",
"state": "TX",
"postal_code": "760403440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12737 SWEET BAY DR",
"city": "EULESS",
"state": "TX",
"postal_code": "760403440",
"telephone_number": "716-491-9193"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLASCZIENSKI",
"first_name": "KEVIN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-03-16",
"last_updated": "2016-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "TX",
"license": "AT5135",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Euless, TX
- Monica A. Bildner, MSN APRN FNP-C
- Biolum Counseling, PLLC
- Bird Concierge Chiropractic, PLLC (Special Birds Family Chiropractic)
- Joy Elizabeth Bird, DC
- Joann Bishop, DO
- Blossom Smile Dental, PLLC
- Bluebonnet Care Services LLC
- Jhansi Lakshmi Bodapati
- Body Spring LLC (Injury Freedom Products)
- Bodyworks Chiropractic PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.