Individual provider Active NPI

Rudolph Hinds Jr., CPT

  • Athletic Trainer
  • Memphis, TN
National Provider Identifier
1508299470
Registry record updated Aug 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
47543 Issued in TN
Practice address
80 Tillman St
Memphis, TN 38111-2700
Phone
(901) 254-9939
NPI assigned
Aug 15, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2013

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 47543 TN Primary

Addresses

Primary practice location

80 Tillman St
Memphis, TN 38111-2700

Mailing address

2095 Wooden Heart CT
Memphis, TN 38116-8159
Phone (901) 254-9939

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
47543TNMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1376524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376524800000",
    "number": "1508299470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2095 WOODEN HEART CT",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381168159",
            "telephone_number": "901-254-9939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 TILLMAN ST",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381112700",
            "telephone_number": "901-254-9939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINDS",
        "first_name": "RUDOLPH",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "CPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-15",
        "last_updated": "2013-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TN",
            "license": "47543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2013; 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.