Individual provider Active NPI

Elizabeth Daniels, MSAT, LAT, ATC

  • Athletic Trainer
  • El Paso, TX
National Provider Identifier
1477101293
Registry record updated Aug 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
AT7657 Issued in TX
Practice address
5400 Sun Valley Dr
El Paso, TX 79924-3418
Phone
(619) 777-3351
NPI assigned
Aug 27, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X AT7657 TX Primary

Addresses

Primary practice location

5400 Sun Valley Dr
El Paso, TX 79924-3418

Mailing address

1533 Altar del Sol
El Paso, TX 79911-3023
Phone (619) 777-3351

Other names 1

  • Elizabeth Thometz Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL RankOne

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

LicenseStateTypeSpecialty
AT7657TXMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1566864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566864000000",
    "number": "1477101293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1533 ALTAR DEL SOL",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799113023",
            "telephone_number": "619-777-3351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 SUN VALLEY DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799243418",
            "telephone_number": "619-777-3351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIELS",
        "first_name": "ELIZABETH",
        "credential": "MSAT, LAT, ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-27",
        "last_updated": "2019-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "AT7657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "RankOne",
            "affiliation": "N",
            "address_1": "5400 Sun Valley Dr",
            "city": "El Paso",
            "state": "TX",
            "country_code": "US",
            "postal_code": "799243418",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "THOMETZ",
            "credential": "MSAT, LAT, ATC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2019; 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.