Active NPI
Nicole Patterson, ATC, LAT
- Athletic Trainer
- Houston, TX
National Provider Identifier
1588102156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT7150
- Practice address
- 9180 Katy Fwy
Houston, TX 77055-7454 - Phone
- (832) 314-4288
- NPI assigned
- Feb 3, 2017
- Sex
- Female
- Sole proprietor
- No
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 | |||
| Athletic Trainer | 2255A2300X | AT7150 | TX | Primary |
Addresses
Primary practice location
9180 Katy Fwy
Houston, TX 77055-7454
Mailing address
15114 Ripplewind LN
Houston, TX 77068-3050
Phone (832) 314-4288
Other practice location 1
15114 Ripplewind Ln
Houston, TX 77068-3050
Phone (832) 314-4288
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2000027947 | Other | BOC/ATC | |
| AT7150 | Other | TX | TDLR/LAT |
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 |
|---|---|---|---|
| AT7150 | TX | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1588102156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15114 RIPPLEWIND LN",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770683050",
"telephone_number": "832-314-4288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9180 KATY FWY",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770557454",
"telephone_number": "832-314-4288"
}
],
"practiceLocations": [
{
"address_1": "15114 Ripplewind Ln",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770683050",
"country_code": "US",
"telephone_number": "832-314-4288",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATTERSON",
"first_name": "NICOLE",
"credential": "ATC, LAT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-03",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "TX",
"license": "AT7150",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOC/ATC",
"identifier": "2000027947",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TDLR/LAT",
"identifier": "AT7150",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.