Active NPI
Angelica Denise Placek
- Athletic Trainer
- Lubbock, TX
National Provider Identifier
1962145177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 3617 Ridgely
Lubbock, TX 79407-1114 - Phone
- (760) 898-5131
- NPI assigned
- Apr 15, 2022
- Last updated
- Apr 15, 2022
- 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 | NU | Primary |
Addresses
Primary practice location
3617 Ridgely
Lubbock, TX 79407-1114
Mailing address
3617 Ridgely
Lubbock, TX 79407-1114
Phone (760) 898-5131
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649980800000",
"number": "1962145177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3617 RIDGELY",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794071114",
"telephone_number": "760-898-5131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3617 RIDGELY",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794071114",
"telephone_number": "760-898-5131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLACEK",
"first_name": "ANGELICA",
"middle_name": "DENISE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-04-15",
"last_updated": "2022-04-15",
"certification_date": "2022-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lubbock, TX
- Courtney Alexandria Pitman, DO
- Christy Earl Pitner, OTR
- Travis Allen Pittock, MA, LPC, LSOTP
- John Pixley, M.D.
- PL Medical Supply Inc (Productive Life Medical Supply)
- Victoria Placencia
- Planned Parenthood of Greater Texas Family Planning & Preventative Hea
- Planned Parenthood of Greater Texas Surgical Health Services
- Moises Plasencia, MD
- Katharyn Ply, MS, LMFT-A
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.