Active NPI
Megan Waller, ATC, LAT
- Athletic Trainer
- Hillsboro, TX
National Provider Identifier
1902294200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT5880
- Practice address
- 121 E Franklin St
Hillsboro, TX 76645-2137 - Phone
- (254) 747-0780
- NPI assigned
- Jan 8, 2015
- Sex
- Female
- 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 | AT5880 | TX | Primary |
Addresses
Primary practice location
121 E Franklin St
Hillsboro, TX 76645-2137
Mailing address
401 E Jacinto St
Groesbeck, TX 76642-1523
Phone (254) 747-0780
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 |
|---|---|---|---|
| AT5880 | TX | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1420675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1420675200000",
"number": "1902294200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 E JACINTO ST",
"city": "GROESBECK",
"state": "TX",
"postal_code": "766421523",
"telephone_number": "254-747-0780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 E FRANKLIN ST",
"city": "HILLSBORO",
"state": "TX",
"postal_code": "766452137",
"telephone_number": "254-747-0780"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALLER",
"first_name": "MEGAN",
"credential": "ATC, LAT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-01-08",
"last_updated": "2015-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "TX",
"license": "AT5880",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hillsboro, TX
- Steven W Vaughan, LPC-S
- Tony Via, LPCI
- Catana Ilegia Villarreal, MSN, APRN, FNP-C
- Wal-Mart Stores Texas LLC (Walmart Pharmacy 10-0211)
- Wal-Mart Stores Texas, LP (Vision Center 30-0211)
- Wesley Partners Senior Living LLC (Wesley House)
- West-Hudson LLC (Eagle Drug)
- Edward West, PHARMACIST
- Lauren White, M.S. CCC-SLP
- Julie Arambula Whitworth, CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.