Individual provider Active NPI

Tatiana Michelle Warman

  • Athletic Trainer
  • Smyrna, GA
National Provider Identifier
1356730675
Registry record updated Mar 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
AT003764 Issued in GA
Practice address
3090 Spring Hill Pkwy SE Apt C
Smyrna, GA 30080-4749
Phone
(720) 206-4491
NPI assigned
Jan 12, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X AT003764 GA Primary

Addresses

Primary practice location

3090 Spring Hill Pkwy SE Apt C
Smyrna, GA 30080-4749

Mailing address

3090 Spring Hill Pkwy SE Apt C
Smyrna, GA 30080-4749
Phone (720) 206-4491

Other practice location 1

2245 Andrew Dr
Superior, CO 80027-8199
Phone (720) 206-4491

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

LicenseStateTypeSpecialty
AT003764GAMDAthletic Trainer

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1421020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614643200000",
    "number": "1356730675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3090 SPRING HILL PKWY SE APT C",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300804749",
            "telephone_number": "720-206-4491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3090 SPRING HILL PKWY SE APT C",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300804749",
            "telephone_number": "720-206-4491"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2245 Andrew Dr",
            "address_purpose": "LOCATION",
            "city": "Superior",
            "state": "CO",
            "postal_code": "800278199",
            "country_code": "US",
            "telephone_number": "720-206-4491",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARMAN",
        "first_name": "TATIANA",
        "middle_name": "MICHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-12",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "GA",
            "license": "AT003764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2021; 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.