Individual provider Active NPI

Anthony Dominic Citriniti, ATC, LAT, PES, CES

  • Athletic Trainer
  • Frisco, TX
National Provider Identifier
1356852263
Registry record updated Oct 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
2000022071 Issued in TX
Practice address
2601 Avenue of the Stars Ste 300
Frisco, TX 75034-9069
Phone
(469) 388-1730
NPI assigned
Oct 18, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic TrainerGroup: 193400000X SINGLE SPECIALTY GROUP 2255A2300X 2000022071 TX Primary

Addresses

Primary practice location

2601 Avenue of the Stars Ste 300
Frisco, TX 75034-9069

Mailing address

2601 Avenue of the Stars Ste 300
Frisco, TX 75034-9069

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
2000022071TXMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1508284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508284800000",
    "number": "1356852263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 AVENUE OF THE STARS STE 300",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750349069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 AVENUE OF THE STARS STE 300",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750349069",
            "telephone_number": "469-388-1730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CITRINITI",
        "first_name": "ANTHONY",
        "middle_name": "DOMINIC",
        "name_prefix": "Mr.",
        "credential": "ATC, LAT, PES, CES",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-10-18",
        "last_updated": "2017-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "2000022071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2017; 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.