Active NPI
Anastasia N Green, LAT,ATC
- Athletic Trainer
- Wichita Falls, TX
National Provider Identifier
1962331322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT9701
- Practice address
- 2404 Fillmore St
Wichita Falls, TX 76309-5323 - Phone
- (940) 704-5850
- NPI assigned
- May 13, 2026
- 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 | AT9701 | TX | Primary |
Addresses
Primary practice location
2404 Fillmore St
Wichita Falls, TX 76309-5323
Mailing address
2404 Fillmore St
Wichita Falls, TX 76309-5323
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 |
|---|---|---|---|
| AT9701 | TX | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1778630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778630400000",
"number": "1962331322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2404 FILLMORE ST",
"city": "WICHITA FALLS",
"state": "TX",
"postal_code": "763095323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2404 FILLMORE ST",
"city": "WICHITA FALLS",
"state": "TX",
"postal_code": "763095323",
"telephone_number": "940-704-5850"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "ANASTASIA",
"middle_name": "N",
"credential": "LAT,ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-05-13",
"last_updated": "2026-05-13",
"certification_date": "2026-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "TX",
"license": "AT9701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wichita Falls, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.