Active NPI
Micah Sterling Myers, ATC
- Athletic Trainer
- Bermuda Dunes, CA
National Provider Identifier
1114647187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 2000052270
- Practice address
- 40700 Yucca LN
Bermuda Dunes, CA 92203-8122 - Phone
- (760) 345-2848
- NPI assigned
- Aug 31, 2022
- Sex
- Male
- 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 | 2000052270 | Primary |
Addresses
Primary practice location
40700 Yucca LN
Bermuda Dunes, CA 92203-8122
Mailing address
PO Box 5026
La Quinta, CA 92248-5026
Phone (760) 848-9130
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661904000000",
"number": "1114647187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5026",
"city": "LA QUINTA",
"state": "CA",
"postal_code": "922485026",
"telephone_number": "760-848-9130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40700 YUCCA LN",
"city": "BERMUDA DUNES",
"state": "CA",
"postal_code": "922038122",
"telephone_number": "760-345-2848"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MYERS",
"first_name": "MICAH",
"middle_name": "STERLING",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-08-31",
"last_updated": "2022-08-31",
"certification_date": "2022-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": "2000052270",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bermuda Dunes, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.