Megan Blaire Ervin, MAT, ATC, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT5093 Issued in TX

Practice address

4601 Amesbury Dr Apt 1235
Dallas, TX 75206-0010

Phone

(936) 554-9203

NPI assigned

Jan 5, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1483574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483574400000",
    "number": "1689119208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 AMESBURY DR APT 1235",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752060010",
            "telephone_number": "936-554-9203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 AMESBURY DR APT 1235",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752060010",
            "telephone_number": "936-554-9203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERVIN",
        "first_name": "MEGAN",
        "middle_name": "BLAIRE",
        "name_prefix": "Miss",
        "credential": "MAT, ATC, LAT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-05",
        "last_updated": "2017-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "PA",
            "license": "RT005927",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "AT5093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Ernest
• Ashley Victoria Ernst, MD
• Cathy Sue Ernst, FNP-C
• Mounir Ben Errami
• Javier Errisuriz
• Erwin a. Cruz, MD, PA
• Blake Robert Erwin, PT, DPT
• Jana G Erwin, D.O.
• Karl Daniel Erwin, M.D.
• Es Associates LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.

Verify at the official NPI Registry.