Active NPI
Sierra Cruz, LAT ATC
- Athletic Trainer
- Middletown, DE
National Provider Identifier
1356094460
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- J3-0010912
- Practice address
- 120 Silver Lake Rd
Middletown, DE 19709-1225 - Phone
- (302) 867-0423
- NPI assigned
- Jan 28, 2022
- 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 | J3-0010912 | DE | Primary |
Addresses
Primary practice location
120 Silver Lake Rd
Middletown, DE 19709-1225
Mailing address
35 Hunter Rd
New Castle, DE 19720-1715
Phone (302) 867-0423
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 |
|---|---|---|---|
| J3-0010912 | DE | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693094400000",
"number": "1356094460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 HUNTER RD",
"city": "NEW CASTLE",
"state": "DE",
"postal_code": "197201715",
"telephone_number": "302-867-0423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 SILVER LAKE RD",
"city": "MIDDLETOWN",
"state": "DE",
"postal_code": "197091225",
"telephone_number": "302-867-0423"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUZ",
"first_name": "SIERRA",
"credential": "LAT ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-28",
"last_updated": "2023-08-27",
"certification_date": "2023-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "DE",
"license": "J3-0010912",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Middletown, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.