Active NPI
Amanda Taylor McCombs
- Athletic Trainer
- Suffolk, VA
National Provider Identifier
1083238166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 1853 Horseshoe Point Rd
Suffolk, VA 23432-1823 - Phone
- (757) 377-9841
- NPI assigned
- Jun 3, 2020
- 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 | Primary |
Addresses
Primary practice location
1853 Horseshoe Point Rd
Suffolk, VA 23432-1823
Mailing address
1853 Horseshoe Point Rd
Suffolk, VA 23432-1823
Phone (757) 377-9841
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2000038409 | Other | VA | 22 |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591142400000",
"number": "1083238166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1853 HORSESHOE POINT RD",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "234321823",
"telephone_number": "757-377-9841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1853 HORSESHOE POINT RD",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "234321823",
"telephone_number": "757-377-9841"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCOMBS",
"first_name": "AMANDA",
"middle_name": "TAYLOR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-03",
"last_updated": "2020-06-03",
"certification_date": "2020-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "22",
"identifier": "2000038409",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Suffolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.