Active NPI
Britt Dickman
- Athletic Trainer
- Pocatello, ID
National Provider Identifier
1134580962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT-556
- Practice address
- 13279 N Moonglow LN
Pocatello, ID 83202-5122 - Phone
- (208) 241-2487
- NPI assigned
- Mar 7, 2016
- 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 | AT-556 | ID | Primary |
Addresses
Primary practice location
13279 N Moonglow LN
Pocatello, ID 83202-5122
Mailing address
855 W Clark St
Pocatello, ID 83204-4160
Phone (406) 491-1179
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 |
|---|---|---|---|
| AT-556 | ID | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tri Med | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Land Ambulance
- Pocatello, ID
- NPI 1336214204
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1457308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457308800000",
"number": "1134580962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "855 W CLARK ST",
"city": "POCATELLO",
"state": "ID",
"postal_code": "832044160",
"telephone_number": "406-491-1179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13279 N MOONGLOW LN",
"city": "POCATELLO",
"state": "ID",
"postal_code": "832025122",
"telephone_number": "208-241-2487"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DICKMAN",
"first_name": "BRITT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-07",
"last_updated": "2016-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "ID",
"license": "AT-556",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pocatello, ID
- Diagnostic Radiologists of South Florida, P.a.
- Dialysis Clinic Inc
- Diamond Peak Health Care LLC
- Karen Dickerson, PA-C
- John Hanford Dickey, PH.D.
- Sarah Didonna, MD
- Krista Michelle Diekemper, RD, LD
- Kyle Phillip Dietrich, PA STUDENT
- Carol Jane Dillon, LPC PROFESSIONAL LIC
- Frank Todd Dimick, ATC, LAT, LPTA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.