Individual provider Active NPI

Cara Danielle Marcella, MED, LAT, ATC

  • Athletic Trainer
  • San Antonio, TX
National Provider Identifier
1841951902
Registry record updated Jul 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
AT6204 Issued in TX
Practice address
8210 Vallecito Way
San Antonio, TX 78250-2262
Phone
(210) 410-6935
NPI assigned
Dec 31, 2021
Last updated
Jul 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X AT6204 TX Primary

Addresses

Primary practice location

8210 Vallecito Way
San Antonio, TX 78250-2262

Mailing address

600 N Ellison Dr
San Antonio, TX 78251-4345
Phone (210) 397-6512

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
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
AT6204TXMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1640908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751500800000",
    "number": "1841951902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N ELLISON DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782514345",
            "telephone_number": "210-397-6512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8210 VALLECITO WAY",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782502262",
            "telephone_number": "210-410-6935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCELLA",
        "first_name": "CARA",
        "middle_name": "DANIELLE",
        "credential": "MED, LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-31",
        "last_updated": "2025-07-03",
        "certification_date": "2025-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "AT6204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2025; 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.