Evan Gumpert, MS ED ATC, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT4138 Issued in TX

Practice address

900 N Grand Ave
Suite 6a
Sherman, TX 75090-4440

Phone

(903) 813-2499

NPI assigned

Jul 17, 2014

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1405555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405555200000",
    "number": "1679980056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 N HARRISON AVE",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750904211",
            "telephone_number": "409-554-6311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 N GRAND AVE",
            "address_2": "SUITE 6A",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750904440",
            "telephone_number": "903-813-2499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUMPERT",
        "first_name": "EVAN",
        "credential": "MS ED ATC, LAT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-17",
        "last_updated": "2014-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "AT4138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dan Griffin
• John Dylan Griffin, PT, DPT
• Kaylene Sue Dunn Griffin, MD
• Stephanie Grundy, COTA
• Gulab LLC
• Jerome E Gundersheimer, O.D.
• Gunter Isd
• Ediz I Gurpinar, MD
• Eugene A Guthrie, O.D.
• Alexandria Guzman

• Athletic Trainer in Sherman, TX
• Providers in Sherman, TX by specialty
• Athletic Trainer in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.

Verify at the official NPI Registry.