Veshawn Blackshire, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT9158 Issued in TX

Practice address

9400 N Central Expy
Dallas, TX 75231-5027

Phone

(972) 925-8300

NPI assigned

Jul 9, 2020

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1594252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1245858901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 MADELINE DR",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748016564",
            "telephone_number": "405-248-6343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9400 N CENTRAL EXPY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752315027",
            "telephone_number": "972-925-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKSHIRE",
        "first_name": "VESHAWN",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-09",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "AT9158",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blackett & Smith PLLC
• Tashya A Blacklock, PA
• Blair Blackman, RN, CPNP
• Katriena Lashaun Blackman, L.V.N.
• Tierra Elonda Blackmon
• Blackwell Chiropractic LLC
• Angelica Maria Blackwell
• Cassie Lyn Blackwell, FNP
• Christian Blackwell
• Gilbert Chad Blackwell, D.C., D.A.B.C.O., NP

• Athletic Trainer in Dallas, TX
• Providers in Dallas, TX by specialty
• Athletic Trainer in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.

Verify at the official NPI Registry.