Shannon Alexis Marek, ATC, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT6004 Issued in TX

Practice address

624 Tiger Dr
Belton, TX 76513

Phone

(254) 215-2243

NPI assigned

Feb 21, 2020

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": "1582243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582243200000",
    "number": "1821621418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2615 BUTTERFLY DR",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765027918",
            "telephone_number": "254-913-2521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 TIGER DR",
            "city": "BELTON",
            "state": "TX",
            "postal_code": "76513",
            "telephone_number": "254-215-2243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAREK",
        "first_name": "SHANNON",
        "middle_name": "ALEXIS",
        "credential": "ATC, LAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-21",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "AT6004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Johanna Helmina Madany, DPT
• Christopher Mann
• Marina Gabrielle Marie
• Maricela Marin-Avila, CPHT
• Mark Malone MD PA
• Jason K Martin, PH.D., LMFT, LPC
• Margaret Catherine Martin, MS, LPC

• Athletic Trainer in Belton, TX
• Providers in Belton, TX by specialty
• Athletic Trainer in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2020; 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.