Bethany Coyne, ATC, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT6359 Issued in TX

Practice address

1304 S Sylvan Ave
Palestine, TX 75801-5137

Phone

(936) 425-6162

NPI assigned

Nov 14, 2017

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Bethany Hubbard Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1510617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510617600000",
    "number": "1437662285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 S SYLVAN AVE",
            "city": "PALESTINE",
            "state": "TX",
            "postal_code": "75801",
            "telephone_number": "936-425-6162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 S SYLVAN AVE",
            "city": "PALESTINE",
            "state": "TX",
            "postal_code": "758015137",
            "telephone_number": "936-425-6162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COYNE",
        "first_name": "BETHANY",
        "credential": "ATC, LAT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-14",
        "last_updated": "2017-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "AT6359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETHANY",
            "last_name": "HUBBARD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ronald James Cook, D.D.S.
• Rachel Marie Cory, CRNA
• Coryell County Memorial Hospital Authority
• Mary O Cox, PH.D.
• Nicole Renae Cox, PTA
• Craig Sessions, M.D., P.a.
• Fermin Cruz Castellanos, AGACNP-AG
• Chad Crystal, M.D.
• Hilary S Currie, MD
• CVS Pharmacy Inc

• Athletic Trainer in Palestine, TX
• Providers in Palestine, TX by specialty
• Athletic Trainer in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2017; 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.