Active NPI
Joshua Charles Yonker, MS, LAT, ATC
- Athletic Trainer
- Beaumont, TX
National Provider Identifier
1659307379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT3457
- Practice address
- 4400 S. MLK Jr Pkwy
Lamar Univ. Dauphin Athletic Complex
Beaumont, TX 77705 - Phone
- (409) 880-2359
- Fax
- (409) 880-2366
- NPI assigned
- Jun 24, 2006
- Reactivated
- Jun 7, 2017
- Sex
- Male
- 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 | AT3457 | TX | Primary |
Addresses
Primary practice location
4400 S. MLK Jr Pkwy
Lamar Univ. Dauphin Athletic Complex
Beaumont, TX 77705
Mailing address
211 Red Bird Lane
Campus Box 10611
Beaumont, TX 77710
Phone (409) 880-2359
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT3457 | TX | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1659307379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 RED BIRD LANE",
"address_2": "CAMPUS BOX 10611",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "77710",
"telephone_number": "409-880-2359",
"fax_number": "409-880-2366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4400 S. MLK JR PKWY",
"address_2": "LAMAR UNIV. DAUPHIN ATHLETIC COMPLEX",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "77705",
"telephone_number": "409-880-2359",
"fax_number": "409-880-2366"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YONKER",
"first_name": "JOSHUA",
"middle_name": "CHARLES",
"name_prefix": "Mr.",
"credential": "MS, LAT, ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-24",
"last_updated": "2022-07-21",
"deactivation_date": "2007-07-17",
"reactivation_date": "2017-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "TX",
"license": "AT3457",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beaumont, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.