Active NPI
Alexandra N Daniel, ATC
- Athletic Trainer
- Hammond, LA
National Provider Identifier
1548769862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 310289
- Practice address
- Slu 10720, 900 a West University
Hammond, LA 70402-8623 - Phone
- (985) 549-2000
- NPI assigned
- Feb 2, 2018
- 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 | 310289 | LA | Primary |
Addresses
Primary practice location
Slu 10720, 900 a West University
Hammond, LA 70402-8623
Mailing address
3726 Pine Village PL
Loganville, GA 30052-8623
Phone (678) 524-3331
Other practice location 1
3726 Pine Village Pl
Loganville, GA 30052-8623
Phone (678) 524-3331
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
| License | State | Type | Specialty |
|---|---|---|---|
| 310289 | LA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578268800000",
"number": "1548769862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3726 PINE VILLAGE PL",
"city": "LOGANVILLE",
"state": "GA",
"postal_code": "300528623",
"telephone_number": "678-524-3331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "SLU 10720, 900 A WEST UNIVERSITY",
"city": "HAMMOND",
"state": "LA",
"postal_code": "704028623",
"telephone_number": "985-549-2000"
}
],
"practiceLocations": [
{
"address_1": "3726 Pine Village Pl",
"address_purpose": "LOCATION",
"city": "Loganville",
"state": "GA",
"postal_code": "300528623",
"country_code": "US",
"telephone_number": "678-524-3331",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DANIEL",
"first_name": "ALEXANDRA",
"middle_name": "N",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-02",
"last_updated": "2020-01-06",
"certification_date": "2020-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "LA",
"license": "310289",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hammond, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.