Individual provider Active NPI

Stacy Lawrence Paper, ATC

  • Athletic Trainer
  • Bethesda, MD
National Provider Identifier
1063125888
Registry record updated Dec 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
A0000882 Issued in MD
Practice address
6710A Rockledge Dr Ste 130
Bethesda, MD 20817-2843
Phone
(301) 515-0900
Fax
(240) 912-2382
NPI assigned
Dec 27, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X A0000882 MD Primary

Addresses

Primary practice location

6710A Rockledge Dr Ste 130
Bethesda, MD 20817-2843

Mailing address

6710A Rockledge Dr Ste 130
Bethesda, MD 20817-2843
Phone (301) 538-0521

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL (240)912-2382

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

LicenseStateTypeSpecialty
A0000882MDMDAthletic Trainer

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1672099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672099200000",
    "number": "1063125888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6710A ROCKLEDGE DR STE 130",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208172843",
            "telephone_number": "301-538-0521",
            "fax_number": "240-912-2382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6710A ROCKLEDGE DR STE 130",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208172843",
            "telephone_number": "301-515-0900",
            "fax_number": "240-912-2382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAPER",
        "first_name": "STACY",
        "middle_name": "LAWRENCE",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-27",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MD",
            "license": "A0000882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "(240)912-2382",
            "affiliation": "N",
            "endpointDescription": "fax number",
            "address_1": "6710A Rockledge Dr Ste 130",
            "city": "Bethesda",
            "state": "MD",
            "country_code": "US",
            "postal_code": "208172843",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.

Verify at the official NPI Registry.