Individual provider Active NPI

Debbie Habelt, ATC

  • Athletic Trainer
  • Ashland City, TN
National Provider Identifier
1104924026
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
AT 0000000436 Issued in TN
Practice address
232 Hutton PL
Suite 120
Ashland City, TN 37015-4932
Phone
(615) 792-5733
Fax
(615) 792-5734
NPI assigned
Sep 21, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X AT 0000000436 TN Primary

Addresses

Primary practice location

232 Hutton PL
Suite 120
Ashland City, TN 37015-4932

Mailing address

1009 Shadowbrook Dr
Greenbrier, TN 37073-5753
Phone (615) 643-6220

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
AT 0000000436TNMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104924026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 SHADOWBROOK DR",
            "city": "GREENBRIER",
            "state": "TN",
            "postal_code": "370735753",
            "telephone_number": "615-643-6220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 HUTTON PL",
            "address_2": "SUITE 120",
            "city": "ASHLAND CITY",
            "state": "TN",
            "postal_code": "370154932",
            "telephone_number": "615-792-5733",
            "fax_number": "615-792-5734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABELT",
        "first_name": "DEBBIE",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TN",
            "license": "AT 0000000436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland City, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.