Tatyana D'Aversa, ATC,MPH

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

0123577 Issued in NY

Practice address

1320 York Ave Apt 13R
New York, NY 10021-4856

Phone

(631) 662-0040

NPI assigned

May 5, 2020

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

State licenses

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

{
    "created_epoch": "1588636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588636800000",
    "number": "1851912448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 YORK AVE APT 13R",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214856",
            "telephone_number": "631-662-0040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 YORK AVE APT 13R",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214856",
            "telephone_number": "631-662-0040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'AVERSA",
        "first_name": "TATYANA",
        "credential": "ATC,MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-05",
        "last_updated": "2020-05-05",
        "certification_date": "2020-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NY",
            "license": "0123577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandria D'Arrigo
• Antonella Marina D'Ascanio
• Kenneth Andrew D'Auria Jr., AU.D.
• Vincent D'Auria, AU.D., CCC-A
• Michael John D'Avanzo, D.C.
• Pratima D'Cruz-Syiemlieh
• Maria D'Cruze, LMSW
• Frank D'Elia
• Giancarlo Antonio D'Elia
• Joseph Anthony D'Elia, R.PH.

• Athletic Trainer in New York, NY
• Providers in New York, NY by specialty
• Athletic Trainer in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2020; 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.