Bethany Rae Clute, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2471 Issued in MN

Practice address

8100 Northland Dr
Minneapolis, MN 55431-4800

Phone

(701) 720-5060

NPI assigned

Jan 27, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1264550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427846400000",
    "number": "1114258399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 CLIFF RD E",
            "address_2": "APT. B321",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553371351",
            "telephone_number": "701-720-5060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8100 NORTHLAND DR",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554314800",
            "telephone_number": "701-720-5060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLUTE",
        "first_name": "BETHANY",
        "middle_name": "RAE",
        "name_prefix": "Ms.",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-27",
        "last_updated": "2015-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MN",
            "license": "2471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Loren Carter Cobb, MD

• Athletic Trainer in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Athletic Trainer in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2015; 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.