Active NPI
Taryn K Fabian, ATC
- Athletic Trainer
- Brandon, FL
National Provider Identifier
1275924094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AL 3868
- Practice address
- 1532 Oakfield Dr
Suite a
Brandon, FL 33511-0829 - Phone
- (813) 381-3852
- Fax
- (813) 381-3873
- NPI assigned
- Feb 16, 2015
- Sex
- Female
- 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 | AL 3868 | FL | Primary |
Addresses
Primary practice location
1532 Oakfield Dr
Suite a
Brandon, FL 33511-0829
Mailing address
1532 Oakfield Dr
Suite a
Brandon, FL 33511-0829
Phone (813) 381-3852
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 |
|---|---|---|---|
| AL 3868 | FL | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trasco Wellness LLC | Athletic Trainer | Past | Accepting new patients |
| Tampa Bay Spine and Injury | Athletic Trainer | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424044800000",
"number": "1275924094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1532 OAKFIELD DR",
"address_2": "SUITE A",
"city": "BRANDON",
"state": "FL",
"postal_code": "335110829",
"telephone_number": "813-381-3852",
"fax_number": "813-381-3873"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1532 OAKFIELD DR",
"address_2": "SUITE A",
"city": "BRANDON",
"state": "FL",
"postal_code": "335110829",
"telephone_number": "813-381-3852",
"fax_number": "813-381-3873"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FABIAN",
"first_name": "TARYN",
"middle_name": "K",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-16",
"last_updated": "2015-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "FL",
"license": "AL 3868",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brandon, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.