Active NPI
Dainel Cullen Andrews Sr., ATC, LAT
- Athletic Trainer
- Cleburne, TX
National Provider Identifier
1821239344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 050802045
- Practice address
- 1501 Harlin Dr
Cleburne, TX 76033-7039 - Phone
- (817) 202-1692
- NPI assigned
- Mar 12, 2009
- Last updated
- Mar 3, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AT3339 | TX | |
| Athletic Trainer | 2255A2300X | 050802045 | Primary |
Addresses
Primary practice location
1501 Harlin Dr
Cleburne, TX 76033-7039
Mailing address
2007 Wahoo Dr
Mansfield, TX 76063-8528
Phone (682) 225-3673
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 |
|---|---|---|---|
| AT3339 | TX | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425340800000",
"number": "1821239344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2007 WAHOO DR",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "760638528",
"telephone_number": "682-225-3673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 HARLIN DR",
"city": "CLEBURNE",
"state": "TX",
"postal_code": "760337039",
"telephone_number": "817-202-1692"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDREWS",
"first_name": "DAINEL",
"middle_name": "CULLEN",
"name_suffix": "Sr.",
"credential": "ATC, LAT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-03-12",
"last_updated": "2015-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "TX",
"license": "AT3339",
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": "050802045",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cleburne, TX
- Rebeckah B Altschul, NP
- Amani by G LLC (Amani Massage)
- American Hospice, Inc (Girling Hospice TEXAS BY HARDEN HEALTHCARE)
- Andelige Trauma Counseling & Consulting, PLLC
- Lindsey Elizabeth Anderson
- Dustin Andrews, PHARMD
- Jonathan Patrick Angel, M.D.
- Kori Denee Anthony, FNP-C, FNP-BC
- Andrew E Anyadiegwu, MD
- Apple Pediatric Therapy
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.