Active NPI
Austin Roeda
- Athletic Trainer
- Tacoma, WA
National Provider Identifier
1679070981
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- A161532453
- Practice address
- 5215 36TH Ave E
Tacoma, WA 98443-1519 - Phone
- (801) 391-7695
- NPI assigned
- Apr 12, 2018
- 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 | A161532453 | WA | Primary |
Addresses
Primary practice location
5215 36TH Ave E
Tacoma, WA 98443-1519
Mailing address
5215 36TH Ave E
Tacoma, WA 98443-1519
Phone (801) 391-7695
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 |
|---|---|---|---|
| A161532453 | WA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769644800000",
"number": "1679070981",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5215 36TH AVE E",
"city": "TACOMA",
"state": "WA",
"postal_code": "984431519",
"telephone_number": "801-391-7695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5215 36TH AVE E",
"city": "TACOMA",
"state": "WA",
"postal_code": "984431519",
"telephone_number": "801-391-7695"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROEDA",
"first_name": "AUSTIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-12",
"last_updated": "2026-01-29",
"certification_date": "2026-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "WA",
"license": "A161532453",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.