Nydia Lisette Cabra, ATC, LAT

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

AT 1508 Issued in TX

Practice address

4901 E University Blvd
Athletic Training- Gym Room 111
Odessa, TX 79762-8122

Phone

(432) 552-2679

Fax

(432) 552-3681

NPI assigned

Aug 31, 2014

Last updated

Aug 31, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Nydia Lisette Ocampo Former name

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": "1409443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409443200000",
    "number": "1285034926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5201 NEW ORLEANS DR",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797624792",
            "telephone_number": "210-452-6689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 E UNIVERSITY BLVD",
            "address_2": "ATHLETIC TRAINING- GYM ROOM 111",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797628122",
            "telephone_number": "432-552-2679",
            "fax_number": "432-552-3681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABRA",
        "first_name": "NYDIA",
        "middle_name": "LISETTE",
        "credential": "ATC, LAT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-31",
        "last_updated": "2014-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": "AT 1508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NYDIA",
            "last_name": "OCAMPO",
            "middle_name": "LISETTE",
            "credential": "ATC, LAT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Meridith Lynn Buzbee
• Michael A Buzbee, OD
• Robin Byrne, FNP-BC
• C&P Wallis, Inc (Beltone Hearing Aid Service)
• Ashley Caballero
• Gleisel Cabuguason, MD
• Morgan Cadena, MS, CCC-SLP
• Simon Antony Caesar Antony, M.B.B.S.
• Ruth Marie Cain
• William David Calahan, DDS

• Student in an Organized Health Care Education/Training Program in Odessa, TX
• Providers in Odessa, TX by specialty
• Student in an Organized Health Care Education/Training Program in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.

Verify at the official NPI Registry.