Active NPI
Denise Renee Lopez, A.T.C.
- Athletic Trainer
- Tacoma, WA
National Provider Identifier
1568756245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AL 1965
- Practice address
- 140 115TH St E
Tacoma, WA 98445-1714 - Phone
- (813) 500-1141
- NPI assigned
- May 31, 2011
- Last updated
- Apr 14, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AL 1965 | FL | Primary |
| Other Specialist/Technologist | 246Z00000X | A1 60339447 | WA |
Addresses
Primary practice location
140 115TH St E
Tacoma, WA 98445-1714
Mailing address
140 115TH St E
Tacoma, WA 98445-1714
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 |
|---|---|---|---|
| AL 1965 | FL | MD | Athletic Trainer |
| A1 60339447 | WA | MD | Other Specialist/Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428969600000",
"number": "1568756245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 115TH ST E",
"city": "TACOMA",
"state": "WA",
"postal_code": "984451714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 115TH ST E",
"city": "TACOMA",
"state": "WA",
"postal_code": "984451714",
"telephone_number": "813-500-1141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "DENISE",
"middle_name": "RENEE",
"credential": "A.T.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-05-31",
"last_updated": "2015-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "FL",
"license": "AL 1965",
"primary": true
},
{
"code": "246Z00000X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other",
"state": "WA",
"license": "A1 60339447",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.