Active NPI
James E. Riser, A.T.C.
- Athletic Trainer
- Odessa, TX
National Provider Identifier
1932173861
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT1476
- Practice address
- 1800 E 42ND St
Odessa, TX 79762-5839 - Phone
- (432) 250-4236
- NPI assigned
- Feb 15, 2006
- Last updated
- Jun 9, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AT1476 | TX | Primary |
| Athletic Trainer | 2255A2300X | 828 | SC |
Addresses
Primary practice location
1800 E 42ND St
Odessa, TX 79762-5839
Mailing address
1800 E 42ND St
Odessa, TX 79762-5839
Phone (432) 250-4236
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000030512 | Other | BOC - ATHLETIC TRAINER |
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 |
|---|---|---|---|
| 828 | SC | MD | Clinical Social Worker |
| AT1476 | TX | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433808000000",
"number": "1932173861",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 E 42ND ST",
"city": "ODESSA",
"state": "TX",
"postal_code": "797625839",
"telephone_number": "432-250-4236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 E 42ND ST",
"city": "ODESSA",
"state": "TX",
"postal_code": "797625839",
"telephone_number": "432-250-4236"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RISER",
"first_name": "JAMES",
"middle_name": "E.",
"name_prefix": "Mr.",
"credential": "A.T.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-15",
"last_updated": "2015-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "TX",
"license": "AT1476",
"primary": true
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "SC",
"license": "828",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOC - ATHLETIC TRAINER",
"identifier": "000030512",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Odessa, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.