Taylor Leigh Sackett, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

1549 Issued in AZ

Practice address

3601 Mount Aladin Ave
San Diego, CA 92111-4036

Phone

(760) 518-4956

NPI assigned

Mar 13, 2017

Last updated

Mar 13, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1489363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489363200000",
    "number": "1790226561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 MOUNT ALADIN AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921114036",
            "telephone_number": "760-518-4956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 MOUNT ALADIN AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921114036",
            "telephone_number": "760-518-4956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SACKETT",
        "first_name": "TAYLOR",
        "middle_name": "LEIGH",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-13",
        "last_updated": "2017-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "AZ",
            "license": "1549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hemant Sachdeva, DDS
• Annemarie Gale Sachs, MSW
• Raymond A. Sachs, MD
• Rosemarie Campos Sachs, MFT
• Rachel Louise Sackett, LMFT
• Adam Berk Sacks, M.D.
• Anthony H Sacks, M.D.
• Richard S. Sacks, M.D.
• Earl Armando Jaranilla Sacramento, PA-C
• Rosieann Pangelinan Sacramento, P.A.-C

• Athletic Trainer in San Diego, CA
• Providers in San Diego, CA by specialty
• Athletic Trainer in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2017; 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.