Active NPI
David Green
- Athletic Trainer
- Tampa, FL
National Provider Identifier
1295389757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 401 W. Kennedy Blvd Box: I
Tampa, FL 33606 - Phone
- (813) 257-3561
- NPI assigned
- Aug 1, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 | FL | Primary |
Addresses
Primary practice location
401 W. Kennedy Blvd Box: I
Tampa, FL 33606
Mailing address
401 W. Kennedy Blvd Box: I
Tampa, FL 33606
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1012095 | Other | NATA MEMBER NUMBER |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564617600000",
"number": "1295389757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 W. KENNEDY BLVD BOX: I",
"city": "TAMPA",
"state": "FL",
"postal_code": "33606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 W. KENNEDY BLVD BOX: I",
"city": "TAMPA",
"state": "FL",
"postal_code": "33606",
"telephone_number": "813-257-3561"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "DAVID",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-08-01",
"last_updated": "2019-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATA MEMBER NUMBER",
"identifier": "1012095",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.