Active NPI
Samantha Yeoman, MS, ATC
- Athletic Trainer
- Tucson, AZ
National Provider Identifier
1518314871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 1236
- Practice address
- 1224 E Lowell St BLDG 95
Room C132B
Tucson, AZ 85721-0095 - Phone
- (520) 621-9013
- Fax
- (520) 626-2416
- NPI assigned
- May 17, 2016
- Sex
- Female
- Sole proprietor
- No
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 | 1236 | AZ | Primary |
Addresses
Primary practice location
1224 E Lowell St BLDG 95
Room C132B
Tucson, AZ 85721-0095
Mailing address
1224 E Lowell St BLDG 95
Tucson, AZ 85721-0095
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2000013158 | Other | BOARD OF CERTIFICATION FOR THE ATHLETIC TRAINER | |
| 1236 | Other | AZ | ARIZONA STATE BOARD OF ATHLETIC TRAINING |
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
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463443200000",
"number": "1518314871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1224 E LOWELL ST BLDG 95",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857210095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1224 E LOWELL ST BLDG 95",
"address_2": "ROOM C132B",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857210095",
"telephone_number": "520-621-9013",
"fax_number": "520-626-2416"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YEOMAN",
"first_name": "SAMANTHA",
"credential": "MS, ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-17",
"last_updated": "2016-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "AZ",
"license": "1236",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF CERTIFICATION FOR THE ATHLETIC TRAINER",
"identifier": "2000013158",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARIZONA STATE BOARD OF ATHLETIC TRAINING",
"identifier": "1236",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.