Active NPI
Elizabeth Maybin, MS, ATC, LAT
- Athletic Trainer
- Temple, TX
National Provider Identifier
1699907345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 1859
- Practice address
- 4707 Silver Leaf CT
Temple, TX 76502-3562 - Phone
- (254) 295-4482
- Fax
- (254) 295-4225
- NPI assigned
- Aug 13, 2009
- 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 | 1859 | TX | Primary |
Addresses
Primary practice location
4707 Silver Leaf CT
Temple, TX 76502-3562
Mailing address
4707 Silver Leaf CT
Temple, TX 76502-3562
Phone (254) 295-4482
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1859 | TX | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339545600000",
"number": "1699907345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4707 SILVER LEAF CT",
"city": "TEMPLE",
"state": "TX",
"postal_code": "765023562",
"telephone_number": "254-295-4482",
"fax_number": "254-295-5027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4707 SILVER LEAF CT",
"city": "TEMPLE",
"state": "TX",
"postal_code": "765023562",
"telephone_number": "254-295-4482",
"fax_number": "254-295-4225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAYBIN",
"first_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "MS, ATC, LAT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-08-13",
"last_updated": "2012-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "TX",
"license": "1859",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Temple, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.