Mary Kate Chapman, ATC, AT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

009077 Issued in AZ

Practice address

1 W Firestorm Way
Glendale, AZ 85306-3216

Phone

(602) 489-5300

NPI assigned

Aug 31, 2016

Last updated

Nov 18, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1472601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668729600000",
    "number": "1073069753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9487 FENTON RD",
            "city": "FENTON",
            "state": "IL",
            "postal_code": "612519505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 W FIRESTORM WAY",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853063216",
            "telephone_number": "602-489-5300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9487 Fenton Rd",
            "address_purpose": "LOCATION",
            "city": "Fenton",
            "state": "IL",
            "postal_code": "612519505",
            "country_code": "US",
            "telephone_number": "815-632-9487",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAPMAN",
        "first_name": "MARY",
        "middle_name": "KATE",
        "credential": "ATC, AT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-31",
        "last_updated": "2022-11-18",
        "certification_date": "2022-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "AZ",
            "license": "009077",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA BOARD OF ATHLETIC TRAINING",
            "identifier": "009077",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Miguel Chanza, RBT
• Rosa Marie Chanza, RBT
• Chaparral Surgical Specialists.LTD
• Andrew Jacob Chapel, DO
• Emily Chapman
• Pamela Chappell
• Edward H Charles, MD
• Hillary H. Charles, M.D.
• Calisha Charron
• Marc David Chase

• Athletic Trainer in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Athletic Trainer in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.