Active NPI
Tara Beth McDaniel, LAT, ATC
- Athletic Trainer
- Little Rock, AR
National Provider Identifier
1598807380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT 383
- Practice address
- 1701 Cantrell Rd
Little Rock, AR 72201-1111 - Phone
- (501) 372-1194
- NPI assigned
- Feb 12, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AT 383 | AR | Primary |
Addresses
Primary practice location
1701 Cantrell Rd
Little Rock, AR 72201-1111
Mailing address
760 Calven Nutt Rd
Malvern, AR 72104-5982
Phone (870) 897-1026
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 |
|---|---|---|---|
| AT 383 | AR | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484611200000",
"number": "1598807380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "760 CALVEN NUTT RD",
"city": "MALVERN",
"state": "AR",
"postal_code": "721045982",
"telephone_number": "870-897-1026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 CANTRELL RD",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722011111",
"telephone_number": "501-372-1194"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDANIEL",
"first_name": "TARA",
"middle_name": "BETH",
"name_prefix": "Miss",
"credential": "LAT, ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-12",
"last_updated": "2017-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "AR",
"license": "AT 383",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.