Individual provider Active NPI

Amber Michelle O'Quinn, MS, ATC, LAT, ITAT

  • Athletic Trainer
  • Corpus Christi, TX
National Provider Identifier
1811459589
Registry record updated Aug 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
AT002513 Issued in GA
Practice address
2125 Meadowwalk Dr
Corpus Christi, TX 78414-2601
Phone
(912) 202-3138
NPI assigned
Apr 2, 2019
Last updated
Aug 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X AT002513 GA Primary

Addresses

Primary practice location

2125 Meadowwalk Dr
Corpus Christi, TX 78414-2601

Mailing address

2125 Meadowwalk Dr
Corpus Christi, TX 78414-2601
Phone (912) 202-3138

Other practice location 1

250 Mellon St
Jesup, GA 31545-4716
Phone (912) 202-3138

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
AT002513GAMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1554163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1811459589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2125 MEADOWWALK DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784142601",
            "telephone_number": "912-202-3138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2125 MEADOWWALK DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784142601",
            "telephone_number": "912-202-3138"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 Mellon St",
            "address_purpose": "LOCATION",
            "city": "Jesup",
            "state": "GA",
            "postal_code": "315454716",
            "country_code": "US",
            "telephone_number": "912-202-3138",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'QUINN",
        "first_name": "AMBER",
        "middle_name": "MICHELLE",
        "credential": "MS, ATC, LAT, ITAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-02",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "GA",
            "license": "AT002513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.

Verify at the official NPI Registry.