Individual provider Active NPI

Hayden Larman, ATC, LAT, EMT

  • Athletic Trainer
  • Fountain Hills, AZ
National Provider Identifier
1922648450
Registry record updated Jan 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
2000036104 Issued in AZ
Practice address
16100 E Palisades Blvd
Fountain Hills, AZ 85268-2755
Phone
(214) 808-3919
NPI assigned
Jan 13, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2020

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 2000036104 AZ Primary

Addresses

Primary practice location

16100 E Palisades Blvd
Fountain Hills, AZ 85268-2755

Mailing address

3356 E Morrison Ranch Pwky
Gilbrt, AZ 85296
Phone (214) 808-3919

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
Credentials
Emergency Medical Technician

State licenses

LicenseStateTypeSpecialty
2000036104AZMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1578873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578873600000",
    "number": "1922648450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3356 E MORRISON RANCH PWKY",
            "city": "GILBRT",
            "state": "AZ",
            "postal_code": "85296",
            "telephone_number": "214-808-3919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16100 E PALISADES BLVD",
            "city": "FOUNTAIN HILLS",
            "state": "AZ",
            "postal_code": "852682755",
            "telephone_number": "214-808-3919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARMAN",
        "first_name": "HAYDEN",
        "credential": "ATC, LAT, EMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-13",
        "last_updated": "2020-01-13",
        "certification_date": "2020-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "AZ",
            "license": "2000036104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Hills, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2020; 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.