Active NPI
Casey Kyriacopoulos
- Athletic Trainer
- Houston, TX
National Provider Identifier
1750069316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT9468
- Practice address
- 3204 Cullen Blvd
Houston, TX 77204-6000 - Phone
- (434) 996-7146
- NPI assigned
- Jul 5, 2023
- 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 | AT9468 | TX | Primary |
Addresses
Primary practice location
3204 Cullen Blvd
Houston, TX 77204-6000
Mailing address
511 Allston St Apt 1205
Houston, TX 77007-2788
Phone (434) 996-7146
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 |
|---|---|---|---|
| AT9468 | TX | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688515200000",
"number": "1750069316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "511 ALLSTON ST APT 1205",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770072788",
"telephone_number": "434-996-7146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3204 CULLEN BLVD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "772046000",
"telephone_number": "434-996-7146"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KYRIACOPOULOS",
"first_name": "CASEY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-07-05",
"last_updated": "2023-07-05",
"certification_date": "2023-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "TX",
"license": "AT9468",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.