Active NPI
Alexander Rozas, LAT
- Athletic Trainer
- Lake Charles, LA
National Provider Identifier
1902341969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 303713
- Practice address
- 1200 Benvue LN
Lake Charles, LA 70605-2655 - Phone
- (337) 580-6782
- NPI assigned
- Dec 30, 2016
- 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 | 303713 | LA | Primary |
Addresses
Primary practice location
1200 Benvue LN
Lake Charles, LA 70605-2655
Mailing address
1200 Benvue LN
Lake Charles, LA 70605-2655
Phone (337) 580-6782
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| #LA00046520782 | Other | LA | HMO, BLUE CROSS BLUE SHIELD |
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 |
|---|---|---|---|
| 303713 | LA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1483056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483056000000",
"number": "1902341969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 BENVUE LN",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706052655",
"telephone_number": "337-580-6782"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 BENVUE LN",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706052655",
"telephone_number": "337-580-6782"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROZAS",
"first_name": "ALEXANDER",
"credential": "LAT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-12-30",
"last_updated": "2016-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "LA",
"license": "303713",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMO, BLUE CROSS BLUE SHIELD",
"identifier": "#LA00046520782",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lake Charles, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.