Stacie Michelle Salazar, MAT, ATC, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

793 Union Chapel Rd
Cedar Creek, TX 78612-3223

Phone

(805) 835-2927

NPI assigned

May 23, 2016

Last updated

Feb 10, 2017By the provider in NPPES

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

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

{
    "created_epoch": "1463961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486684800000",
    "number": "1841647534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11001 S 1ST ST",
            "address_2": "#1026",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787486762",
            "telephone_number": "805-835-2927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "793 UNION CHAPEL RD",
            "city": "CEDAR CREEK",
            "state": "TX",
            "postal_code": "786123223",
            "telephone_number": "805-835-2927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALAZAR",
        "first_name": "STACIE",
        "middle_name": "MICHELLE",
        "credential": "MAT, ATC, LAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-23",
        "last_updated": "2017-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Personal Injury Medical Center LLC
• Connie Raemsch
• Linda Robinson Butler, M.A., CCC/SLP
• Heather Rodriguez
• Rose Mary Rubio, SOCIAL WORKER
• Leslie Yerani Sanchez Alanis, RN BSN
• Amanda Urzica
• Claire Elizabeth Volz, OTR
• Holly Clare Williams, PHD
• Faye Lynn Wright, RN, MSN, CNS, P/MH

• Athletic Trainer in Cedar Creek, TX
• Providers in Cedar Creek, 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 10, 2017; 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.