Active NPI
Lakisha Dorsey, ATC, LAT, CES
- Athletic Trainer
- Humble, TX
National Provider Identifier
1922415348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT5257
- Practice address
- 311 S Houston Ave
Humble, TX 77338-4794 - Phone
- (210) 663-3513
- NPI assigned
- Jul 17, 2014
- 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 | AT5257 | TX | Primary |
Addresses
Primary practice location
311 S Houston Ave
Humble, TX 77338-4794
Mailing address
9650 N Sam Houston Pkwy E Ste 150
125
Humble, TX 77396-4382
Phone (210) 663-3513
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 |
|---|---|---|---|
| AT5257 | TX | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719187200000",
"number": "1922415348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9650 N SAM HOUSTON PKWY E STE 150",
"address_2": "125",
"city": "HUMBLE",
"state": "TX",
"postal_code": "773964382",
"telephone_number": "210-663-3513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 S HOUSTON AVE",
"city": "HUMBLE",
"state": "TX",
"postal_code": "773384794",
"telephone_number": "210-663-3513"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DORSEY",
"first_name": "LAKISHA",
"credential": "ATC, LAT, CES",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-17",
"last_updated": "2024-06-24",
"certification_date": "2024-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "TX",
"license": "AT5257",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Humble, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.