Active NPI
Elica Leal, ATC
- Athletic Trainer
- McKinney, TX
National Provider Identifier
1801219506
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT1142
- Practice address
- 2550 Wilmeth Rd
McKinney, TX 75071-2607 - Phone
- (469) 302-4242
- Fax
- (469) 302-4227
- NPI assigned
- Jan 31, 2014
- 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 | AT1142 | TX | Primary |
Addresses
Primary practice location
2550 Wilmeth Rd
McKinney, TX 75071-2607
Mailing address
2118 Chippendale Dr
McKinney, TX 75071-2850
Phone (469) 223-3823
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 |
|---|---|---|---|
| AT1142 | TX | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391126400000",
"number": "1801219506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2118 CHIPPENDALE DR",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750712850",
"telephone_number": "469-223-3823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2550 WILMETH RD",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750712607",
"telephone_number": "469-302-4242",
"fax_number": "469-302-4227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEAL",
"first_name": "ELICA",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-01-31",
"last_updated": "2014-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "TX",
"license": "AT1142",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in McKinney, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.