Active NPI
Miapatrice Burrows-Allen
- Athletic Trainer
- Harvey, LA
National Provider Identifier
1003322157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 1170143133
- Practice address
- 3827 Spencer St
Harvey, LA 70058-5910 - Phone
- (504) 628-6394
- NPI assigned
- Dec 26, 2017
- 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 | 1170143133 | AZ | Primary |
Addresses
Primary practice location
3827 Spencer St
Harvey, LA 70058-5910
Mailing address
3827 Spencer St
Harvey, LA 70058-5910
Phone (504) 628-6394
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 |
|---|---|---|---|
| 1170143133 | AZ | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lyfe N Motion PT LLC | Single Specialty | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1514246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1514246400000",
"number": "1003322157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3827 SPENCER ST",
"city": "HARVEY",
"state": "LA",
"postal_code": "700585910",
"telephone_number": "504-628-6394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3827 SPENCER ST",
"city": "HARVEY",
"state": "LA",
"postal_code": "700585910",
"telephone_number": "504-628-6394"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURROWS-ALLEN",
"first_name": "MIAPATRICE",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-12-26",
"last_updated": "2017-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "AZ",
"license": "1170143133",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Harvey, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.