Active NPI
Colleen Levinson, ATC, LAT
- Athletic Trainer
- Raleigh, NC
National Provider Identifier
1134511967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- LAT-2480
- Practice address
- 2500 Warren Carroll Dr
Box 8502
Raleigh, NC 27695-0001 - Phone
- (919) 515-2111
- NPI assigned
- Mar 3, 2015
- Sex
- Female
- Sole proprietor
- No
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 | LAT-2480 | NC | Primary |
Addresses
Primary practice location
2500 Warren Carroll Dr
Box 8502
Raleigh, NC 27695-0001
Mailing address
2500 Warren Carroll Dr
Box 8502
Raleigh, NC 27695-0001
Phone (919) 515-2111
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LAT-2480 | Other | NC | NORTH CAROLINA BOARD OF ATHLETIC TRAINING EXAMINERS |
| 2000016011 | Other | BOARD OF CERTIFICATION |
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 |
|---|---|---|---|
| LAT-2480 | NC | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425340800000",
"number": "1134511967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 WARREN CARROLL DR",
"address_2": "BOX 8502",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276950001",
"telephone_number": "919-515-2111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 WARREN CARROLL DR",
"address_2": "BOX 8502",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276950001",
"telephone_number": "919-515-2111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVINSON",
"first_name": "COLLEEN",
"credential": "ATC, LAT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-03",
"last_updated": "2015-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NC",
"license": "LAT-2480",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NORTH CAROLINA BOARD OF ATHLETIC TRAINING EXAMINERS",
"identifier": "LAT-2480",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF CERTIFICATION",
"identifier": "2000016011",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.