Active NPI
Jane Grayson, PHD, ATC, LAT
- Athletic Trainer
- Nacogdoches, TX
National Provider Identifier
1437528379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT5875
- Practice address
- 1936 North St
Hpe Building, Room 209
Nacogdoches, TX 75965-3940 - Phone
- (936) 468-1527
- NPI assigned
- Sep 22, 2015
- Last updated
- Sep 22, 2015
- 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 | AT5875 | TX | Primary |
Addresses
Primary practice location
1936 North St
Hpe Building, Room 209
Nacogdoches, TX 75965-3940
Mailing address
1936 North St
Nacogdoches, TX 75965-3940
Phone (936) 468-1527
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT5875 | TX | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442880000000",
"number": "1437528379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1936 NORTH ST",
"city": "NACOGDOCHES",
"state": "TX",
"postal_code": "759653940",
"telephone_number": "936-468-1527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1936 NORTH ST",
"address_2": "HPE BUILDING, ROOM 209",
"city": "NACOGDOCHES",
"state": "TX",
"postal_code": "759653940",
"telephone_number": "936-468-1527"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAYSON",
"first_name": "JANE",
"credential": "PHD, ATC, LAT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-09-22",
"last_updated": "2015-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "TX",
"license": "AT5875",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nacogdoches, TX
- Grace in Motion Rehab LLC
- April Ann Grady, MA, LPC
- Macie Graf
- Grasshopper Anesthesia Services PLLC
- Madison Graves
- Greater Dallas Healthcare Enterprises
- Green and Gold Imaging LLC (Pineywoods Imaging Center)
- Gregory E Hyde MD PHD PA
- Gregory P. Wittpenn, MD PA (New Horizons Plastic Surgery)
- Kelly Michelle Griffin, SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.