Individual provider Active NPI

Heather Wrench, LAT, ATC, CES

  • Athletic Trainer
  • San Antonio, TX
National Provider Identifier
1699395400
Registry record updated Apr 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
AT6166 Issued in TX
Practice address
13000 Vista del Norte Apt 314
San Antonio, TX 78216-8045
Phone
(217) 621-2466
NPI assigned
Apr 21, 2020
Last updated
Apr 21, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X AT6166 TX Primary

Addresses

Primary practice location

13000 Vista del Norte Apt 314
San Antonio, TX 78216-8045

Mailing address

PO Box 34331
San Antonio, TX 78265-4331
Phone (217) 621-2466

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

LicenseStateTypeSpecialty
AT6166TXMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1587427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587427200000",
    "number": "1699395400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34331",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782654331",
            "telephone_number": "217-621-2466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13000 VISTA DEL NORTE APT 314",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782168045",
            "telephone_number": "217-621-2466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRENCH",
        "first_name": "HEATHER",
        "credential": "LAT, ATC, CES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-21",
        "last_updated": "2020-04-21",
        "certification_date": "2020-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "AT6166",
            "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 Apr 21, 2020; 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.