Active NPI
Nicole James, MS,LAT,ATC,CHWC,CEAS
- Athletic Trainer
- Irving, TX
National Provider Identifier
1356894844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT5969
- Practice address
- 701 N Wildwood Dr
Irving, TX 75061-8831 - Phone
- (972) 579-2533
- NPI assigned
- Aug 1, 2016
- 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 | AT5969 | TX | Primary |
Addresses
Primary practice location
701 N Wildwood Dr
Irving, TX 75061-8831
Mailing address
701 N Wildwood Dr
Irving, TX 75061-8831
Phone (972) 579-2533
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT5969 | TX | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685664000000",
"number": "1356894844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 N WILDWOOD DR",
"city": "IRVING",
"state": "TX",
"postal_code": "750618831",
"telephone_number": "972-579-2533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 N WILDWOOD DR",
"city": "IRVING",
"state": "TX",
"postal_code": "750618831",
"telephone_number": "972-579-2533"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAMES",
"first_name": "NICOLE",
"credential": "MS,LAT,ATC,CHWC,CEAS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-01",
"last_updated": "2023-06-02",
"certification_date": "2023-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "TX",
"license": "AT5969",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Irving, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.