Jayson Vincent, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT6972 Issued in TX

Practice address

7311 Bluestone
San Antonio, TX 78249-3644

Phone

(210) 452-6971

NPI assigned

Aug 27, 2021

Sex

Male

Sole proprietor

Yes

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The University of Texas at San Antonio

  • Community/Behavioral Health Agency
  • San Antonio, TX
  • NPI 1366841280
  NPD (past)

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

{
    "created_epoch": "1630022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630022400000",
    "number": "1881361657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 UTSA CIR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782491644",
            "telephone_number": "210-452-6971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7311 BLUESTONE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782493644",
            "telephone_number": "210-452-6971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINCENT",
        "first_name": "JAYSON",
        "credential": "LAT, ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-27",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "AT6972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam Vaughan Vinall, MD
• Vincent a Caldarola
• Vincent Fontana, Jr., D.D.S., Inc.
• Bianca Vianee Vincent, LMFT
• Britney Vincent, LPC
• Sylvia Vincent, SLP
• Vine Behavioral Health and Wellness, PLLC
• Vine Medical Equipment, LLC
• Justin Vine, NP
• David Lynn Vines, MHS, RRT

• Athletic Trainer in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Athletic Trainer in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2021; 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.