Active NPI
Eric Jordan Rueda, MS, LAT
- Athletic Trainer
- El Paso, TX
National Provider Identifier
1528593407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT6980
- Practice address
- 14964 Greg Dr
El Paso, TX 79938-9213 - Phone
- (915) 926-5000
- NPI assigned
- Apr 27, 2017
- Last updated
- Sep 17, 2021
- Sex
- Male
- 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 | AT6980 | TX | Primary |
Addresses
Primary practice location
14964 Greg Dr
El Paso, TX 79938-9213
Mailing address
3269 Catherine Ann Dr
El Paso, TX 79936-2663
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT6980 | TX | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631836800000",
"number": "1528593407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3269 CATHERINE ANN DR",
"city": "EL PASO",
"state": "TX",
"postal_code": "799362663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14964 GREG DR",
"city": "EL PASO",
"state": "TX",
"postal_code": "799389213",
"telephone_number": "915-926-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUEDA",
"first_name": "ERIC",
"middle_name": "JORDAN",
"credential": "MS, LAT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-04-27",
"last_updated": "2021-09-17",
"certification_date": "2021-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "TX",
"license": "AT6980",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Sep 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.