Active NPI
Shawn Matsunaga, ATC,CSHE
- Athletic Trainer
- Bartlett, TN
National Provider Identifier
1760699771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT631
- Practice address
- 6557 Sungate Ave.
Bartlett, TN 38135-3105 - Phone
- (901) 377-1435
- NPI assigned
- May 17, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AT631 | TN | Primary |
Addresses
Primary practice location
6557 Sungate Ave.
Bartlett, TN 38135-3105
Mailing address
6557 Sungate Dr S
Bartlett, TN 38135-3105
Phone (901) 377-1435
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 |
|---|---|---|---|
| AT631 | TN | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476403200000",
"number": "1760699771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6557 SUNGATE DR S",
"city": "BARTLETT",
"state": "TN",
"postal_code": "381353105",
"telephone_number": "901-377-1435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6557 SUNGATE AVE.",
"city": "BARTLETT",
"state": "TN",
"postal_code": "381353105",
"telephone_number": "901-377-1435"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATSUNAGA",
"first_name": "SHAWN",
"credential": "ATC,CSHE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-17",
"last_updated": "2016-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "TN",
"license": "AT631",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bartlett, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.