Sammi Taylor, ATC
Individual provider Active NPI Athletic Trainer · Boutte, LA
NPI 1780307306 · NPPES record last updated Sep 20, 2022
Key facts
- NPI
- 1780307306
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- 060402530 (LA)
- Practice address
- 200 Tiger Dr
Boutte, LA 70039-3520 - Phone
- (337) 280-8793
- NPI assigned
- Sep 20, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 060402530 | LA | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 060402530 | LA | Yes |
Addresses
Primary practice location
200 Tiger Dr
Boutte, LA 70039-3520
Mailing address
200 Tiger Dr
Boutte, LA 70039-3520
Phone (337) 280-8793
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://www.stcharles.k12.la.us/HAHNVILLE |
Other providers in Boutte, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 20, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.