Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Diana Jazmin Betancourt, MS, LAT, ATC

Individual provider Athletic Trainer · NPI 1669188165

Diana Jazmin Betancourt, MS, LAT, ATC is an Athletic Trainer in Riverside, Missouri. Licensed in Kansas and Missouri. Registered with an NPI since 2023.

Licensed in
KS, MO
In the registry since
2023
Specialties on file
2
What do these letters mean?
MS — Master of Science
A graduate science degree.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

1 Teal Rising Way
Riverside, MO 64150-7700
Phone: (714) 791-3647
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Emergency Medicine) Physician (primary) Taxonomy 207PS0010X · Licence 2024030608 (MO)
Athletic Trainer Taxonomy 2255A2300X · Licence 24-01780 (KS)

Record details

NPI number1669188165
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , LAT , ATC
Sole proprietorNo
NPI enumeratedJanuary 27, 2023
Last updated in NPPESJune 1, 2026
Certification dateJune 1, 2026

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