Leslie Tatum Carroll, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT4849 Issued in TX

Practice address

1809 Victory Ave
Wichita Falls, TX 76301-6020

Phone

(408) 390-4494

NPI assigned

Nov 8, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1478563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478563200000",
    "number": "1568904522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1809 VICTORY AVE",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763016020",
            "telephone_number": "408-390-4494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1809 VICTORY AVE",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763016020",
            "telephone_number": "408-390-4494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "LESLIE",
        "middle_name": "TATUM",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-08",
        "last_updated": "2016-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "AT4849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Carlton
• Ruth T Carr, PA-C
• Jessica Blank Carr,Aprn, APRN,NP
• Selena Anna Maria Carreon
• Carrie Andree LPC PLLC
• Courtney Carter
• Karina Michelle Carter
• Thomeisha Carter
• William Carter
• David Francis Cartwright, D.C.

• Athletic Trainer in Wichita Falls, TX
• Providers in Wichita Falls, TX by specialty
• Athletic Trainer in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2016; 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.