Active NPI
Jason Patrick Lopez, MS, LAT, ATC, CES
- Athletic Trainer
- Huntsville, AL
National Provider Identifier
1548925175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 1606
- Practice address
- 700 Monroe St SW
Huntsville, AL 35801-5579 - Phone
- (813) 690-1290
- NPI assigned
- Nov 8, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 | 1606 | AL | Primary |
Addresses
Primary practice location
700 Monroe St SW
Huntsville, AL 35801-5579
Mailing address
132 Parkview Dr
Meridianville, AL 35759-2339
Phone (813) 690-1290
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2000007080 | Other | BOC |
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 |
|---|---|---|---|
| 1606 | AL | MD | Physical Medicine & Rehabilitation Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636329600000",
"number": "1548925175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "132 PARKVIEW DR",
"city": "MERIDIANVILLE",
"state": "AL",
"postal_code": "357592339",
"telephone_number": "813-690-1290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 MONROE ST SW",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358015579",
"telephone_number": "813-690-1290"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "JASON",
"middle_name": "PATRICK",
"credential": "MS, LAT, ATC, CES",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-11-08",
"last_updated": "2021-11-08",
"certification_date": "2021-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "AL",
"license": "1606",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOC",
"identifier": "2000007080",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Huntsville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.