Active NPI
Tammy Renee Duval, ATC
- Athletic Trainer
- Las Cruces, NM
National Provider Identifier
1396098950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 483
- Practice address
- 1950 S Sonoma Ranch Blvd
Las Cruces, NM 88011-1706 - Phone
- (575) 527-9330
- NPI assigned
- Oct 19, 2012
- Last updated
- Oct 19, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 | 483 | NM | Primary |
Addresses
Primary practice location
1950 S Sonoma Ranch Blvd
Las Cruces, NM 88011-1706
Mailing address
8408 Rocky Acres TRL
Las Cruces, NM 88007
Phone (575) 644-5084
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350604800000",
"number": "1396098950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8408 ROCKY ACRES TRL",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "88007",
"telephone_number": "575-644-5084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1950 S SONOMA RANCH BLVD",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880111706",
"telephone_number": "575-527-9330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUVAL",
"first_name": "TAMMY",
"middle_name": "RENEE",
"name_prefix": "Ms.",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-10-19",
"last_updated": "2012-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NM",
"license": "483",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Cruces, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.