Active NPI
Sydney Alise Mann
- Athletic Trainer
- Youngsville, LA
National Provider Identifier
1962976993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 201 Teakwood Dr
Youngsville, LA 70592-5224 - Phone
- (337) 412-8193
- NPI assigned
- Jan 12, 2019
- Sex
- Female
- Sole proprietor
- No
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 | LA | Primary |
Addresses
Primary practice location
201 Teakwood Dr
Youngsville, LA 70592-5224
Mailing address
201 Teakwood Dr
Youngsville, LA 70592-5224
Phone (337) 412-8193
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": "1547251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558483200000",
"number": "1962976993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 TEAKWOOD DR",
"city": "YOUNGSVILLE",
"state": "LA",
"postal_code": "705925224",
"telephone_number": "337-412-8193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 TEAKWOOD DR",
"city": "YOUNGSVILLE",
"state": "LA",
"postal_code": "705925224",
"telephone_number": "337-412-8193"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANN",
"first_name": "SYDNEY",
"middle_name": "ALISE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-12",
"last_updated": "2019-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "LA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Youngsville, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.