Active NPI
Wayne Wesley Minor, ATC
- Athletic Trainer
- Huntsville, AL
National Provider Identifier
1306103304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 407
- Practice address
- 101 Sivley Rd SW
Huntsville, AL 35801-4421 - Phone
- (256) 265-7101
- NPI assigned
- Apr 13, 2012
- Sex
- Male
- 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 | 407 | AL | Primary |
Addresses
Primary practice location
101 Sivley Rd SW
Huntsville, AL 35801-4421
Mailing address
111 Scarborough Cir
New Market, AL 35761-9264
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 |
|---|---|---|---|
| 407 | AL | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334275200000",
"number": "1306103304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 SCARBOROUGH CIR",
"city": "NEW MARKET",
"state": "AL",
"postal_code": "357619264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 SIVLEY RD SW",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358014421",
"telephone_number": "256-265-7101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINOR",
"first_name": "WAYNE",
"middle_name": "WESLEY",
"name_prefix": "Mr.",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-13",
"last_updated": "2012-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "AL",
"license": "407",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Huntsville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.