Todd Patrick Faison, MED, ATC, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT2427 Issued in TX

Practice address

1504 E. Itasca Ave.
Lubbock, TX 79403

Phone

(806) 766-1342

NPI assigned

Nov 19, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

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

{
    "created_epoch": "1321660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321660800000",
    "number": "1710254701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5311 31ST ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794073517",
            "telephone_number": "806-543-3917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1504 E. ITASCA AVE.",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "79403",
            "telephone_number": "806-766-1342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAISON",
        "first_name": "TODD",
        "middle_name": "PATRICK",
        "name_prefix": "Mr.",
        "credential": "MED, ATC, LAT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-11-19",
        "last_updated": "2011-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "AT2427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tolulope Mary Fadipe, DDS
• Mandy M Fair, LMFT
• Jennifer-Marie C Fairchild, MA
• Kaeli Shea Faires, PHARMD
• Roxanne Sepeda Faison, MAT ATC LAT
• Kah Bede Fala Wva-Akain, MD, MPH
• Falcon Healthcare, Inc
• Falcon South Plains Hospice LP
• Kara Mia Falkinburg, LCDC
• Kelly Fallin, O.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2011; 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.