Active NPI
Stefanie Wainwright, LAT, ATC
- Athletic Trainer
- Brooklandville, MD
National Provider Identifier
1093124562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- A0000074
- Practice address
- 11232 Falls Rd
Brooklandville, MD 21022-1405 - Phone
- (410) 632-6323
- NPI assigned
- Aug 8, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 | A0000074 | MD | Primary |
Addresses
Primary practice location
11232 Falls Rd
Brooklandville, MD 21022-1405
Mailing address
PO Box 8000
Brooklandville, MD 21022-8000
Phone (410) 632-6323
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 |
|---|---|---|---|
| A0000074 | MD | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407456000000",
"number": "1093124562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8000",
"city": "BROOKLANDVILLE",
"state": "MD",
"postal_code": "210228000",
"telephone_number": "410-632-6323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11232 FALLS RD",
"city": "BROOKLANDVILLE",
"state": "MD",
"postal_code": "210221405",
"telephone_number": "410-632-6323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAINWRIGHT",
"first_name": "STEFANIE",
"name_prefix": "Mrs.",
"credential": "LAT, ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-08-08",
"last_updated": "2014-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MD",
"license": "A0000074",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklandville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.