Individual provider Active NPI

Alexander Lucas Heyen, ATC

  • Athletic Trainer
  • Richardson, TX
National Provider Identifier
1265345540
Registry record updated Sep 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
AT10563 Issued in TX
Practice address
800 W Renner Rd Apt 427
Richardson, TX 75080-1033
Phone
(217) 556-4896
NPI assigned
Sep 25, 2026
Last updated
Sep 25, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X AT10563 TX Primary

Addresses

Primary practice location

800 W Renner Rd Apt 427
Richardson, TX 75080-1033

Mailing address

800 W Renner Rd Apt 427
Richardson, TX 75080-1033
Phone (217) 556-4896

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1790294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790294400000",
    "number": "1265345540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 W RENNER RD APT 427",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750801033",
            "telephone_number": "217-556-4896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W RENNER RD APT 427",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750801033",
            "telephone_number": "217-556-4896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEYEN",
        "first_name": "ALEXANDER",
        "middle_name": "LUCAS",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-09-25",
        "last_updated": "2026-09-25",
        "certification_date": "2026-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "AT10563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.