Active NPI
Derek Calvert, ATC
- Athletic Trainer
- Baton Rouge, LA
National Provider Identifier
1851709216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- ATH.200344
- Practice address
- Lsu Athletic Administration Building
Athletic Training Room
Baton Rouge, LA 70803 - Phone
- (225) 578-2050
- Fax
- (225) 578-3924
- NPI assigned
- Jul 30, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | ATH.200344 | LA | Primary |
Addresses
Primary practice location
Lsu Athletic Administration Building
Athletic Training Room
Baton Rouge, LA 70803
Mailing address
Lsu Athletic Administration Building
Athletic Training Room
Baton Rouge, LA 70803
Phone (225) 578-2050
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 |
|---|---|---|---|
| ATH.200344 | LA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406678400000",
"number": "1851709216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "LSU ATHLETIC ADMINISTRATION BUILDING",
"address_2": "ATHLETIC TRAINING ROOM",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "70803",
"telephone_number": "225-578-2050",
"fax_number": "225-578-3924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "LSU ATHLETIC ADMINISTRATION BUILDING",
"address_2": "ATHLETIC TRAINING ROOM",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "70803",
"telephone_number": "225-578-2050",
"fax_number": "225-578-3924"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALVERT",
"first_name": "DEREK",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-07-30",
"last_updated": "2014-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "LA",
"license": "ATH.200344",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.