Active NPI
Tanya Desirae Sherman, ATC, LAT
- Athletic Trainer
- Odessa, TX
National Provider Identifier
1861025462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT8162
- Practice address
- 1301 Dotsy Ave
Odessa, TX 79763-3576 - Phone
- (432) 456-0029
- NPI assigned
- Feb 21, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AT8162 | TX | Primary |
Addresses
Primary practice location
1301 Dotsy Ave
Odessa, TX 79763-3576
Mailing address
5001 W Wadley Ave Apt D311
Midland, TX 79707-5143
Phone (432) 230-9951
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22 | Other | TX | RESPIRATORY, REHABILITATIVE, AND RESTORATIVE SERVICE PROVIDERS |
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 |
|---|---|---|---|
| AT8162 | TX | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583193600000",
"number": "1861025462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5001 W WADLEY AVE APT D311",
"city": "MIDLAND",
"state": "TX",
"postal_code": "797075143",
"telephone_number": "432-230-9951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 DOTSY AVE",
"city": "ODESSA",
"state": "TX",
"postal_code": "797633576",
"telephone_number": "432-456-0029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHERMAN",
"first_name": "TANYA",
"middle_name": "DESIRAE",
"credential": "ATC, LAT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-21",
"last_updated": "2020-03-03",
"certification_date": "2020-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "TX",
"license": "AT8162",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RESPIRATORY, REHABILITATIVE, AND RESTORATIVE SERVICE PROVIDERS",
"identifier": "22",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Odessa, TX
- Maria Angelina Shelkey, MS, CCC-SLP
- Carron Lou Shellenberger, LPC
- Haleigh Morgan Shelton, OD
- Michael Vise Shelton, M.D.
- Holly Barker Sherman, M.S.CCC.SLP
- Stephanie Lou Sherrin, LVN
- Shine Speech Therapy and Social Language Center, PLLC
- Shingala Dental PLLC
- Gregory Michael Shipkey, MD
- Rao Umair Shoukat, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.