Daniel Anthony Latourelle, ATC, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT7935 Issued in TX

Practice address

712 Hayter Street
Nacogdoches, TX 75962-0001

Phone

(936) 468-3784

NPI assigned

Aug 5, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1564963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564963200000",
    "number": "1346895620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4541 NE STALLINGS DR APT 701",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759651672",
            "telephone_number": "707-758-4593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 HAYTER STREET",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759620001",
            "telephone_number": "936-468-3784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATOURELLE",
        "first_name": "DANIEL",
        "middle_name": "ANTHONY",
        "credential": "ATC, LAT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-05",
        "last_updated": "2019-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "AT7935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tonya Annette Laforge, MSN, RN
• Joshua Lammert, MS, ATC, LAT
• Charles Emory Lane III, D.D.S.
• Patti Langston, RPH
• Stephen Lantis, LPC
• Aubrey Elyse Laurent
• Chad Laurich, DPM
• Larry Laurich
• Katie Lauridsen, ATC, LAT
• David M. Lawson II, PH.D.

• Athletic Trainer in Nacogdoches, TX
• Providers in Nacogdoches, TX by specialty
• Athletic Trainer in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.

Verify at the official NPI Registry.