Individual provider Active NPI

Lorraine Michele Cameron, ATC/L

  • Student in an Organized Health Care Education/Training Program
  • Rockport, TX
National Provider Identifier
1962779959
Registry record updated Nov 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
AT4035 Issued in TX
Practice address
1801 Omohundro Dr
Rockport, TX 78382
Phone
(361) 790-2264
Fax
(361) 790-2264
NPI assigned
Nov 19, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X AT4035 TX Primary

Addresses

Primary practice location

1801 Omohundro Dr
Rockport, TX 78382

Mailing address

1801 Omohundro Dr
Rockport, TX 78382
Phone (361) 790-2264

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

LicenseStateTypeSpecialty
AT4035TXMDStudent in an Organized Health Care Education/Training Program

NPI Registry JSON

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

{
    "created_epoch": "1321660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321660800000",
    "number": "1962779959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 OMOHUNDRO DR",
            "city": "ROCKPORT",
            "state": "TX",
            "postal_code": "78382",
            "telephone_number": "361-790-2264",
            "fax_number": "361-790-2264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 OMOHUNDRO DR",
            "city": "ROCKPORT",
            "state": "TX",
            "postal_code": "78382",
            "telephone_number": "361-790-2264",
            "fax_number": "361-790-2264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMERON",
        "first_name": "LORRAINE",
        "middle_name": "MICHELE",
        "name_prefix": "Mrs.",
        "credential": "ATC/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-19",
        "last_updated": "2011-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": "AT4035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockport, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2011; 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.