Active NPI
Tysha Beaty, ATC, LAT
- Athletic Trainer
- Frisco, TX
National Provider Identifier
1629473517
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT3194
- Practice address
- 8313 Tanglerose Dr
Frisco, TX 75033-6223 - Phone
- (972) 658-0881
- NPI assigned
- Nov 4, 2014
- 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 | AT3194 | TX | Primary |
Addresses
Primary practice location
8313 Tanglerose Dr
Frisco, TX 75033-6223
Mailing address
8313 Tanglerose Dr
Frisco, TX 75033-6223
Phone (972) 658-0881
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 |
|---|---|---|---|
| AT3194 | TX | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415059200000",
"number": "1629473517",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8313 TANGLEROSE DR",
"city": "FRISCO",
"state": "TX",
"postal_code": "750336223",
"telephone_number": "972-658-0881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8313 TANGLEROSE DR",
"city": "FRISCO",
"state": "TX",
"postal_code": "750336223",
"telephone_number": "972-658-0881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEATY",
"first_name": "TYSHA",
"credential": "ATC, LAT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-11-04",
"last_updated": "2014-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "TX",
"license": "AT3194",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Frisco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.