Active NPI
Alexis Newby
- Athletic Trainer
- Abilene, TX
National Provider Identifier
1841893419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT9306
- Practice address
- 2074 Antilley Rd
Abilene, TX 79606-5209 - Phone
- (325) 698-3865
- NPI assigned
- Nov 17, 2020
- Last updated
- Jan 4, 2023
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Athletic Trainer | 2255A2300X | AT9306 | TX | Primary |
Addresses
Primary practice location
2074 Antilley Rd
Abilene, TX 79606-5209
Mailing address
226 Contera CT
Abilene, TX 79602-1173
Phone (360) 772-9715
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 |
|---|---|---|---|
| AT9306 | TX | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672790400000",
"number": "1841893419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "226 CONTERA CT",
"city": "ABILENE",
"state": "TX",
"postal_code": "796021173",
"telephone_number": "360-772-9715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2074 ANTILLEY RD",
"city": "ABILENE",
"state": "TX",
"postal_code": "796065209",
"telephone_number": "325-698-3865"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWBY",
"first_name": "ALEXIS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-17",
"last_updated": "2023-01-04",
"certification_date": "2023-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "TX",
"license": "AT9306",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Abilene, TX
- Neurology of Abilene and West Texas PLLC
- Neurosurgery Associates of West Texas, PA
- New Heights Physical Therapy Limited Partnership
- New Hope Behavioral Health LLC
- New Horizons Ranch and Center, Inc.
- Richard Lee Newport, PA-C
- Nextcare Primary Care Texas PLLC (Baylor Scott & White Urgent Care Plus)
- Lan Thi Thanh Nguyen, PHARMD
- Lynne Nguyen, PA-C
- Ta Van Nguyen, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.