Active NPI
Timothy David Ferren, ATC/LAT.
- Athletic Trainer
- Mission, TX
National Provider Identifier
1235249947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT4129
- Practice address
- 700 E 2 Mile Line Rd
Mission, TX 78574-1759 - Phone
- (956) 323-3000
- NPI assigned
- Aug 30, 2006
- Last updated
- Jun 19, 2014
- Sex
- Male
- Sole proprietor
- No
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 | AT4129 | TX | Primary |
Addresses
Primary practice location
700 E 2 Mile Line Rd
Mission, TX 78574-1759
Mailing address
1418 Las Brisas Dr
Mission, TX 78574-2784
Phone (956) 874-3300
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000042585 | Other | TX | NATIONAL ATHLETIC TRAINERS ASSOCIATION |
| AT4129 | Other | TX | TEXAS DEPARTMENT OF STATE HEALTH SERVICES |
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 |
|---|---|---|---|
| AT4129 | TX | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403136000000",
"number": "1235249947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1418 LAS BRISAS DR",
"city": "MISSION",
"state": "TX",
"postal_code": "785742784",
"telephone_number": "956-874-3300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 E 2 MILE LINE RD",
"city": "MISSION",
"state": "TX",
"postal_code": "785741759",
"telephone_number": "956-323-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERREN",
"first_name": "TIMOTHY",
"middle_name": "DAVID",
"name_prefix": "Mr.",
"credential": "ATC/LAT.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2014-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "TX",
"license": "AT4129",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONAL ATHLETIC TRAINERS ASSOCIATION",
"identifier": "000042585",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS DEPARTMENT OF STATE HEALTH SERVICES",
"identifier": "AT4129",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mission, TX
- Sidney Stewart Fernald, RN, APN, NP-C, D.C.
- Fernandez Gonzalez Asociados, LLC (Valle Feliz Adult Day Care)
- Maximilliana Fidela Fernandez
- Fernando Luna FNP-BC, PLLC
- Fernando Valdez, M.D.P.a.
- Sara Henid Figueroa, MSOT
- Filosa Children's Clinic
- Patricia Liliana Filosa, M.D.
- Armando Javier Flores, MD
- Audrey Samantha Flores, SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.