Active NPI
Devin Thulin, ATC
- Athletic Trainer
- Natchitoches, LA
National Provider Identifier
1891162889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 220 S Jefferson St Prather Coliseum
Natchitoches, LA 71497-0001 - Phone
- (318) 357-4276
- Fax
- (318) 357-5592
- NPI assigned
- Aug 26, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 | LA | Primary |
Addresses
Primary practice location
220 S Jefferson St Prather Coliseum
Natchitoches, LA 71497-0001
Mailing address
357 Jefferson St
Natchitoches, LA 71457-4354
Phone (316) 308-1222
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478476800000",
"number": "1891162889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "357 JEFFERSON ST",
"city": "NATCHITOCHES",
"state": "LA",
"postal_code": "714574354",
"telephone_number": "316-308-1222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 S JEFFERSON ST PRATHER COLISEUM",
"city": "NATCHITOCHES",
"state": "LA",
"postal_code": "714970001",
"telephone_number": "318-357-4276",
"fax_number": "318-357-5592"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THULIN",
"first_name": "DEVIN",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-08-26",
"last_updated": "2016-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "LA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Natchitoches, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.