Active NPI
Stephanie Ann Clinger, MS, ATC, CSCS
- Athletic Trainer
- Stafford, VA
National Provider Identifier
1083677082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 0126001859
- Practice address
- 616 Garrisonville Rd
Stafford, VA 22554-3707 - Phone
- (860) 287-9418
- NPI assigned
- Apr 10, 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 | 0126001859 | VA | Primary |
Addresses
Primary practice location
616 Garrisonville Rd
Stafford, VA 22554-3707
Mailing address
3 Varone Dr
Stafford, VA 22554-7897
Phone (860) 287-9418
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RT00448 | Other | PA | PENNSYLVANIA LICENSE |
| 06-6000798 | Other | CT | ATHLETIC TRAINER |
| 5435719UPD | Other | NY | NEW YORK LICENSE |
| 0126001859 | Other | VA | VIRGINIA STATE LICENSE |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0126001859 | VA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351555200000",
"number": "1083677082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 VARONE DR",
"city": "STAFFORD",
"state": "VA",
"postal_code": "225547897",
"telephone_number": "860-287-9418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "616 GARRISONVILLE RD",
"city": "STAFFORD",
"state": "VA",
"postal_code": "225543707",
"telephone_number": "860-287-9418"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLINGER",
"first_name": "STEPHANIE",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "MS, ATC, CSCS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-10",
"last_updated": "2012-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "VA",
"license": "0126001859",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PENNSYLVANIA LICENSE",
"identifier": "RT00448",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ATHLETIC TRAINER",
"identifier": "06-6000798",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEW YORK LICENSE",
"identifier": "5435719UPD",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VIRGINIA STATE LICENSE",
"identifier": "0126001859",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Stafford, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.