Active NPI
Nathan Andrew Hayes, ATC
- Athletic Trainer
- Colorado Springs, CO
National Provider Identifier
1740556950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT.0001179
- Practice address
- 4825 Mallow Rd
Colorado Springs, CO 80907-4422 - Phone
- (818) 472-5155
- NPI assigned
- Apr 2, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Athletic Trainer | 2255A2300X | AT.0001179 | CO | Primary |
Addresses
Primary practice location
4825 Mallow Rd
Colorado Springs, CO 80907-4422
Mailing address
4825 Mallow Rd
Colorado Springs, CO 80907-4422
Phone (818) 472-5155
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 |
|---|---|---|---|
| AT.0001179 | CO | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424304000000",
"number": "1740556950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4825 MALLOW RD",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809074422",
"telephone_number": "818-472-5155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4825 MALLOW RD",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809074422",
"telephone_number": "818-472-5155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYES",
"first_name": "NATHAN",
"middle_name": "ANDREW",
"name_prefix": "Mr.",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-04-02",
"last_updated": "2015-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "CO",
"license": "AT.0001179",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.