Active NPI
Alexis Glasby, BS, LAT, ATC
- Athletic Trainer
- Normal, AL
National Provider Identifier
1003524331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 2548
- Practice address
- 4900 Meridian St NW
Normal, AL 35762-7500 - Phone
- (256) 372-8457
- NPI assigned
- Nov 7, 2022
- 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 | 2548 | AL | Primary |
Addresses
Primary practice location
4900 Meridian St NW
Normal, AL 35762-7500
Mailing address
1731 Parker Rd
Saint Louis, MO 63138-1910
Phone (314) 278-4474
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
- Credentials
- Bachelor of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667779200000",
"number": "1003524331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1731 PARKER RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631381910",
"telephone_number": "314-278-4474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4900 MERIDIAN ST NW",
"city": "NORMAL",
"state": "AL",
"postal_code": "357627500",
"telephone_number": "256-372-8457"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLASBY",
"first_name": "ALEXIS",
"credential": "BS, LAT, ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-07",
"last_updated": "2022-11-07",
"certification_date": "2022-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "AL",
"license": "2548",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Normal, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.