Active NPI
Danielle Keyes, M.ED, ATC,LAT
- Athletic Trainer
- Magnolia, TX
National Provider Identifier
1568855245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT5941
- Practice address
- 14350 FM 1488 Rd
Magnolia, TX 77354-1665 - Phone
- (281) 252-2158
- NPI assigned
- Mar 5, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AT5941 | TX | Primary |
Addresses
Primary practice location
14350 FM 1488 Rd
Magnolia, TX 77354-1665
Mailing address
11743 Northpointe Blvd
Unit 1027
Tomball, TX 77377-5574
Phone (904) 338-8515
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 Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT5941 | TX | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425513600000",
"number": "1568855245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11743 NORTHPOINTE BLVD",
"address_2": "UNIT 1027",
"city": "TOMBALL",
"state": "TX",
"postal_code": "773775574",
"telephone_number": "904-338-8515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14350 FM 1488 RD",
"city": "MAGNOLIA",
"state": "TX",
"postal_code": "773541665",
"telephone_number": "281-252-2158"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEYES",
"first_name": "DANIELLE",
"credential": "M.ED, ATC,LAT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-03-05",
"last_updated": "2015-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "TX",
"license": "AT5941",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Magnolia, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.