Daryl Faulkner, M.S., ATC, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT8280 Issued in TX

Practice address

2012 Robert Dedman Dr
Austin, TX 78712-1754

Phone

(901) 409-2814

NPI assigned

Apr 15, 2016

Last updated

May 1, 2024By the provider in NPPES

Sex

Male

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1460678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1841644861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8515 BRODIE LN APT 227",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787458096",
            "telephone_number": "901-409-2814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2012 ROBERT DEDMAN DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787121754",
            "telephone_number": "901-409-2814"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1125 George Rogers Blvd",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292080001",
            "country_code": "US",
            "telephone_number": "803-777-1513",
            "fax_number": "803-777-8286",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAULKNER",
        "first_name": "DARYL",
        "credential": "M.S., ATC, LAT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-15",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "AT8280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Kate Faulhaber, LCSW
• Millicent Hicks Faulk
• Sean Faulk
• Tim L Faulkenberry, M.D.
• Beau Robert Faulkner, PHARM.D.
• David Faulkner, PHARM.D.
• Leslie Faulkner, LPC
• Shylo Faulkner, RN, WCC
• Emily Wright Fauries, M.A., CF-SLP
• Kailie Fausone

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; 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.