National Athletic Trainers Association

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

AT1418 Issued in TX

Legal business name

NATIONAL ATHLETIC TRAINERS ASSOCIATION

Practice address

154 Louise Ritter Blvd
Red Oak, TX 75154

Phone

(469) 437-2183

NPI assigned

Apr 18, 2007

Last updated

Jun 25, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Todd Cameron Kiefer, LAT

Title

Licensed Athletic Trainer

Phone

(972) 617-2075

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1689891285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1341 E HIGHLAND RD",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751677203",
            "telephone_number": "972-617-2075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 LOUISE RITTER BLVD",
            "city": "RED OAK",
            "state": "TX",
            "postal_code": "75154",
            "telephone_number": "469-437-2183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL ATHLETIC TRAINERS ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "KIEFER",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "CAMERON",
        "authorized_official_title_or_position": "LICENSED ATHLETIC TRAINER",
        "authorized_official_telephone_number": "972-617-2075",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LAT"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "TX",
            "license": "AT1418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Maintenance Organization in Red Oak, TX
• Providers in Red Oak, TX by specialty
• Health Maintenance Organization in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.