Active NPI
Michelle Susan Varnell, ATC
- Athletic Trainer
- Phoenix, AZ
National Provider Identifier
1033181714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 0543
- Practice address
- 4710 N 5TH St
Phoenix, AZ 85012-1738 - Phone
- (602) 240-3119
- NPI assigned
- Feb 6, 2006
- 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 | 0543 | AZ | Primary |
Addresses
Primary practice location
4710 N 5TH St
Phoenix, AZ 85012-1738
Mailing address
4101 E Baseline Rd
#1433
Gilbert, AZ 85234-9101
Phone (602) 463-9605
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 |
|---|---|---|---|
| 0543 | AZ | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1033181714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4101 E BASELINE RD",
"address_2": "#1433",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852349101",
"telephone_number": "602-463-9605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4710 N 5TH ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850121738",
"telephone_number": "602-240-3119"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VARNELL",
"first_name": "MICHELLE",
"middle_name": "SUSAN",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-06",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "AZ",
"license": "0543",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.