Stephanie Faye Nelson, MA, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT3967 Issued in TX

Practice address

1333 W Washington St
Stephenville, TX 76401-4168

Phone

(254) 968-0796

NPI assigned

Oct 6, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Stephanie Faye Martin Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1254787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591056000000",
    "number": "1982939112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1049 FOREST GLEN RD",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760872173",
            "telephone_number": "817-307-8715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 W WASHINGTON ST",
            "city": "STEPHENVILLE",
            "state": "TX",
            "postal_code": "764014168",
            "telephone_number": "254-968-0796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "STEPHANIE",
        "middle_name": "FAYE",
        "credential": "MA, LAT, ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-06",
        "last_updated": "2020-06-02",
        "certification_date": "2020-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "AT3967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "MARTIN",
            "middle_name": "FAYE",
            "credential": "MA, ATC, LAT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jerry Charles Nance, D.C.
• Nanette V Evans M.D., P.a.
• Miranda Nash, M.D.
• Dustin Navarro, D.M.D
• Helen Shea Nelson
• Gina Neri, PTA
• Elba Nichols, PTA
• James Edward Nichols, LCSW
• Numed Imaging Centers, Inc
• Leticia O'Ryan

• Athletic Trainer in Stephenville, TX
• Providers in Stephenville, TX by specialty
• Athletic Trainer in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2020; 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.