Individual provider Active NPI

Mary Nicole Hight, B.S., A.T.C., L.A.T.

  • Athletic Trainer
  • Houston, TX
National Provider Identifier
1295199776
Registry record updated Apr 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
AT6043 Issued in TX
Practice address
3225 Woodland Park Dr
#1471
Houston, TX 77082-7603
Phone
(936) 446-7299
NPI assigned
Apr 11, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2016

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 AT6043 TX Primary

Addresses

Primary practice location

3225 Woodland Park Dr
#1471
Houston, TX 77082-7603

Mailing address

3225 Woodland Park Dr
#1471
Houston, TX 77082-7603
Phone (936) 446-7299

Other names 1

  • Mary Nicole Hogan Former name

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
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
AT6043TXMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1460332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460332800000",
    "number": "1295199776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3225 WOODLAND PARK DR",
            "address_2": "#1471",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770827603",
            "telephone_number": "936-446-7299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3225 WOODLAND PARK DR",
            "address_2": "#1471",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770827603",
            "telephone_number": "936-446-7299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIGHT",
        "first_name": "MARY",
        "middle_name": "NICOLE",
        "credential": "B.S., A.T.C., L.A.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-11",
        "last_updated": "2016-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "AT6043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "HOGAN",
            "middle_name": "NICOLE",
            "credential": "B.S., A.T.C., L.A.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2016; 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.