Lydia Haren, MS, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

1198 Jones Butler Rd Apt 2805
College Station, TX 77840-6455

Phone

(804) 386-4773

NPI assigned

Sep 19, 2018

Last updated

May 27, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Credentials

Master of Science

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

{
    "created_epoch": "1537315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558915200000",
    "number": "1386128957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1198 JONES BUTLER RD APT 2805",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778406455",
            "telephone_number": "804-386-4773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1198 JONES BUTLER RD APT 2805",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778406455",
            "telephone_number": "804-386-4773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAREN",
        "first_name": "LYDIA",
        "credential": "MS, LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-19",
        "last_updated": "2019-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Rae Hanna, PA-C
• Gena Michelle Hannah, LVN
• Derek Levi Hansen, DC
• Brandy Mitchell Hanus, RN
• Monira Haque
• Hargur PLLC
• Vincent JD Harpin, ATC
• Amy L. Harrell, M.D.
• Staci Urbanosky Harrington, FNP-C
• Ashley Lamb Harris, MA, CRC, LPC

• Athletic Trainer in College Station, TX
• Providers in College Station, TX by specialty
• Athletic Trainer in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.