Active NPI
Derrek Chevez Lathon II
- Athletic Trainer
- Baton Rouge, LA
National Provider Identifier
1225879588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 011898409
- Practice address
- 50 Field House Dr.
Baton Rouge, LA 70802 - Phone
- (225) 715-8005
- NPI assigned
- Jun 3, 2024
- 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 | 011898409 | LA | Primary |
Addresses
Primary practice location
50 Field House Dr.
Baton Rouge, LA 70802
Mailing address
50 Filed House Dr.
Baton Rouge, LA 70802
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 |
|---|---|---|---|
| 011898409 | LA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717372800000",
"number": "1225879588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 FILED HOUSE DR.",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "70802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 FIELD HOUSE DR.",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "70802",
"telephone_number": "225-715-8005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LATHON",
"first_name": "DERREK",
"middle_name": "CHEVEZ",
"name_suffix": "II",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-06-03",
"last_updated": "2024-06-03",
"certification_date": "2024-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "LA",
"license": "011898409",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.