Active NPI
Michelle Boyko
- Athletic Trainer
- Arlington, TX
National Provider Identifier
1235537200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT5838
- Practice address
- 4501 W Pleasant Ridge Rd
Arlington, TX 76016-3410 - Phone
- (805) 801-9654
- NPI assigned
- Dec 8, 2014
- Sex
- Female
- 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 | AT5838 | TX | Primary |
Addresses
Primary practice location
4501 W Pleasant Ridge Rd
Arlington, TX 76016-3410
Mailing address
805 Saint Johns Dr
Mansfield, TX 76063-4057
Phone (805) 801-9654
Other names 1
- Michelle Leigh Cronin
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 |
|---|---|---|---|
| AT5838 | TX | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1417996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1417996800000",
"number": "1235537200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "805 SAINT JOHNS DR",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "760634057",
"telephone_number": "805-801-9654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4501 W PLEASANT RIDGE RD",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760163410",
"telephone_number": "805-801-9654"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYKO",
"first_name": "MICHELLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-12-08",
"last_updated": "2014-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "TX",
"license": "AT5838",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MICHELLE",
"last_name": "CRONIN",
"middle_name": "LEIGH",
"credential": "MA, ATC, LAT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Arlington, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.