Individual provider Active NPI

Trevon Jerrell Jones

  • Athletic Trainer
  • Huntsville, TX
National Provider Identifier
1578195582
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
AT8322 Issued in TX
Practice address
172 Ravenwood Village Dr Apt 624
Huntsville, TX 77340-1637
Phone
(903) 724-5933
NPI assigned
Feb 7, 2020
Last updated
Jan 3, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X AT8322 TX Primary

Addresses

Primary practice location

172 Ravenwood Village Dr Apt 624
Huntsville, TX 77340-1637

Mailing address

172 Ravenwood Village Dr Apt 624
Huntsville, TX 77340-1637
Phone (903) 724-5933

Other practice location 1

13010 SFA Station
Nacogdoches, TX 75961
Phone (936) 468-3784

Other practice location 2

104 N Pecan St
Nacogdoches, TX 75961-5268
Phone (903) 724-5933

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

LicenseStateTypeSpecialty
AT8322TXMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1581033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1578195582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 RAVENWOOD VILLAGE DR APT 624",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773401637",
            "telephone_number": "903-724-5933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 RAVENWOOD VILLAGE DR APT 624",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773401637",
            "telephone_number": "903-724-5933"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13010 SFA Station",
            "address_purpose": "LOCATION",
            "city": "Nacogdoches",
            "state": "TX",
            "postal_code": "75961",
            "country_code": "US",
            "telephone_number": "936-468-3784",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "104 N Pecan St",
            "address_purpose": "LOCATION",
            "city": "Nacogdoches",
            "state": "TX",
            "postal_code": "759615268",
            "country_code": "US",
            "telephone_number": "903-724-5933",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "TREVON",
        "middle_name": "JERRELL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-07",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "AT8322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; 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.