Active NPI
Jill F Flowers, A.T.C.,L.A.T.
- Athletic Trainer
- Pearland, TX
National Provider Identifier
1417090747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT1132
- Practice address
- 3775 S Main St
Pearland, TX 77581-5905 - Phone
- (281) 997-3260
- Fax
- (281) 412-1369
- NPI assigned
- Feb 15, 2007
- 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 | AT1132 | TX | Primary |
Addresses
Primary practice location
3775 S Main St
Pearland, TX 77581-5905
Mailing address
3901 Ivywood Dr
Pearland, TX 77584-9254
Phone (281) 489-4848
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2255A2300X | Other | TX | ATHLETIC TRAINER |
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
| License | State | Type | Specialty |
|---|---|---|---|
| AT1132 | TX | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1417090747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3901 IVYWOOD DR",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775849254",
"telephone_number": "281-489-4848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3775 S MAIN ST",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775815905",
"telephone_number": "281-997-3260",
"fax_number": "281-412-1369"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLOWERS",
"first_name": "JILL",
"middle_name": "F",
"name_prefix": "Mrs.",
"credential": "A.T.C.,L.A.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "TX",
"license": "AT1132",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ATHLETIC TRAINER",
"identifier": "2255A2300X",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pearland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.