Brandi Johnson Nix, ATC
Individual provider Active NPI Athletic Trainer · Butler, AL
NPI 1003587080 · NPPES record last updated Sep 21, 2021
Key facts
- NPI
- 1003587080
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- 1293 (AL)
- Practice address
- 901 S Mulberry Ave
Butler, AL 36904-2811 - Phone
- (205) 457-3605
- NPI assigned
- Sep 21, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 1293 | AL | Yes |
Addresses
Primary practice location
901 S Mulberry Ave
Butler, AL 36904-2811
Mailing address
310 Thornton Ave
Butler, AL 36904-2337
Phone (205) 457-1239
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1293 | Other | AL | STATE OF ALABAMA BOARD OF ATHLETIC TRAINERS |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | brandi@pasaint.com | Direct | Patrician Academy |
Other providers in Butler, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 21, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.