Individual provider Active NPI

La Tanja Amelia Batiste, ATC

  • Athletic Trainer
  • Elizabeth City, NC
National Provider Identifier
1902832439
Registry record updated Jul 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
0991 Issued in NC
Practice address
1704 Weeksville Rd
Elizabeth City, NC 27909-7977
Phone
(252) 335-3389
NPI assigned
Jun 25, 2006
Last updated
Jul 31, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 0991 NC Primary

Addresses

Primary practice location

1704 Weeksville Rd
Elizabeth City, NC 27909-7977

Mailing address

1704 Weeksville Rd
Elizabeth City, NC 27909-7977

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

LicenseStateTypeSpecialty
0991NCMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438300800000",
    "number": "1902832439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1704 WEEKSVILLE RD",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279097977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1704 WEEKSVILLE RD",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279097977",
            "telephone_number": "252-335-3389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATISTE",
        "first_name": "LA TANJA",
        "middle_name": "AMELIA",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-25",
        "last_updated": "2015-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NC",
            "license": "0991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth City, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.

Verify at the official NPI Registry.