Active NPI
Darolyn Leah Nyhan, LAT, ATC
- Athletic Trainer
- McKenzie, TN
National Provider Identifier
1881101913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT6578
- Practice address
- 325 Cherry Street
McKenzie, TN 38201-3820 - Phone
- (731) 352-4294
- NPI assigned
- Jan 10, 2018
- Last updated
- Jan 10, 2018
- 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 | AT6578 | TX | Primary |
Addresses
Primary practice location
325 Cherry Street
McKenzie, TN 38201-3820
Mailing address
325 Cherry Ave
MC Kenzie, TN 38201-1769
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2000022053 | Other | ATHLETIC TRAINING |
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 |
|---|---|---|---|
| AT6578 | TX | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1515542400000",
"number": "1881101913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 CHERRY AVE",
"city": "MC KENZIE",
"state": "TN",
"postal_code": "382011769"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 CHERRY STREET",
"city": "MCKENZIE",
"state": "TN",
"postal_code": "382013820",
"telephone_number": "731-352-4294"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NYHAN",
"first_name": "DAROLYN",
"middle_name": "LEAH",
"credential": "LAT, ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-10",
"last_updated": "2018-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "TX",
"license": "AT6578",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ATHLETIC TRAINING",
"identifier": "2000022053",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in McKenzie, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.