Tarron James Clark, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT770 Issued in NM

Practice address

2300 Arenal Rd SW
Albuquerque, NM 87105-4180

Phone

(509) 619-6737

NPI assigned

Aug 7, 2020

Last updated

Aug 7, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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": "1596758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596758400000",
    "number": "1437769031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 ARENAL RD SW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871054180",
            "telephone_number": "505-873-0220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 ARENAL RD SW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871054180",
            "telephone_number": "509-619-6737"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2101 Altura Azul Ln NE",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871105061",
            "country_code": "US",
            "telephone_number": "509-619-6737",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARK",
        "first_name": "TARRON",
        "middle_name": "JAMES",
        "credential": "LAT, ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-07",
        "last_updated": "2020-08-07",
        "certification_date": "2020-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NM",
            "license": "AT770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "SportsWare",
            "affiliation": "N",
            "endpointDescription": "Online AT EMR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2300 Arenal Rd SW",
            "city": "Albuquerque",
            "state": "NM",
            "country_code": "US",
            "postal_code": "871054180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ross Clark, MD
• Sabrina Clark
• Serina Clark
• Shane Thomas Clark, DMD
• Sonja Dana Clark, PSYD, LPCC
• Teresa Watkins Clark, LPCC
• Trevor Clark, D.C.
• Veralyn Elizabeth Clark
• Gray B Clarke, MD
• Jennifer Clarke

• Athletic Trainer in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Athletic Trainer in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2020; 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.