Individual provider Active NPI

Amanda Marie Bello, LAT,ATC

  • Athletic Trainer
  • Columbus, OH
National Provider Identifier
1104385715
Registry record updated Oct 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
APP-000599939 Issued in OH
Practice address
555 Borror Dr
Columbus, OH 43210-1187
Phone
(636) 439-9741
NPI assigned
Mar 14, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Athletic Trainer 2255A2300X
Athletic Trainer 2255A2300X APP-000599939 OH Primary

Addresses

Primary practice location

555 Borror Dr
Columbus, OH 43210-1187

Mailing address

332 Highgrove Place Dr
O Fallon, MO 63366-4385
Phone (636) 439-9741

Other practice location 1

600 East Stadium Blvd
Columbia, MO 65211-0001
Phone (636) 439-9741

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
APP-000599939OHMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1552521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665878400000",
    "number": "1104385715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 HIGHGROVE PLACE DR",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633664385",
            "telephone_number": "636-439-9741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 BORROR DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432101187",
            "telephone_number": "636-439-9741"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 East Stadium Blvd",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MO",
            "postal_code": "652110001",
            "country_code": "US",
            "telephone_number": "636-439-9741",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BELLO",
        "first_name": "AMANDA",
        "middle_name": "MARIE",
        "credential": "LAT,ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-14",
        "last_updated": "2022-10-16",
        "certification_date": "2022-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "OH",
            "license": "APP-000599939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.