Active NPI
Brianna Danielle Longoria
- Athletic Trainer
- San Antonio, TX
National Provider Identifier
1689408908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 42039494
- Practice address
- 9162 Ridge ML
San Antonio, TX 78250-5028 - Phone
- (210) 606-5108
- NPI assigned
- Aug 28, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 | 42039494 | TX | Primary |
Addresses
Primary practice location
9162 Ridge ML
San Antonio, TX 78250-5028
Mailing address
9162 Ridge ML
San Antonio, TX 78250-5028
Phone (210) 606-5108
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 |
|---|---|---|---|
| 42039494 | TX | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724803200000",
"number": "1689408908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9162 RIDGE ML",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782505028",
"telephone_number": "210-606-5108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9162 RIDGE ML",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782505028",
"telephone_number": "210-606-5108"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONGORIA",
"first_name": "BRIANNA",
"middle_name": "DANIELLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-08-28",
"last_updated": "2024-08-28",
"certification_date": "2024-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "TX",
"license": "42039494",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.