Individual provider Active NPI

Symone Hawes, LAT, ATC, NREMT

  • Athletic Trainer
  • Coral Springs, FL
National Provider Identifier
1528682010
Registry record updated Jun 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
AL4136 Issued in FL
Practice address
2566 NW 86TH Ave
Coral Springs, FL 33065-5338
Phone
(954) 695-9055
NPI assigned
Jun 1, 2020
Last updated
Jun 1, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Paramedic 146L00000X NU
Athletic Trainer 2255A2300X AL4136 FL Primary

Addresses

Primary practice location

2566 NW 86TH Ave
Coral Springs, FL 33065-5338

Mailing address

2566 NW 86TH Ave
Coral Springs, FL 33065-5338

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL N/a

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
AL4136FLMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1590969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590969600000",
    "number": "1528682010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2566 NW 86TH AVE",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330655338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2566 NW 86TH AVE",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330655338",
            "telephone_number": "954-695-9055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWES",
        "first_name": "SYMONE",
        "credential": "LAT, ATC, NREMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-01",
        "last_updated": "2020-06-01",
        "certification_date": "2020-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146L00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "AL4136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "N/a",
            "affiliation": "N",
            "address_1": "2566 NW 86th Ave",
            "city": "Coral Springs",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330655338",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.