Active NPI
Esotarya Mitchell, ATC, MAT, LAT
- Athletic Trainer
- Port Isabel, TX
National Provider Identifier
1326289281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT3949
- Practice address
- 101 Port Rd
Port Isabel, TX 78578-2404 - Phone
- (956) 943-0111
- NPI assigned
- Mar 23, 2009
- 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 | AT3949 | TX | Primary |
Addresses
Primary practice location
101 Port Rd
Port Isabel, TX 78578-2404
Mailing address
101 Port Rd
Port Isabel, TX 78578-2404
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 |
|---|---|---|---|
| AT3949 | TX | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359936000000",
"number": "1326289281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 PORT RD",
"city": "PORT ISABEL",
"state": "TX",
"postal_code": "785782404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 PORT RD",
"city": "PORT ISABEL",
"state": "TX",
"postal_code": "785782404",
"telephone_number": "956-943-0111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITCHELL",
"first_name": "ESOTARYA",
"name_prefix": "Ms.",
"credential": "ATC, MAT, LAT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-23",
"last_updated": "2013-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "TX",
"license": "AT3949",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Isabel, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.