Active NPI
Amber Breen, MAT, LAT, ATC
- Athletic Trainer
- Four Oaks, NC
National Provider Identifier
1144646159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 1978
- Practice address
- 500 Wood Valley Dr
Four Oaks, NC 27524-7765 - Phone
- (678) 977-7561
- NPI assigned
- Mar 14, 2014
- 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 | 1978 | NC | Primary |
Addresses
Primary practice location
500 Wood Valley Dr
Four Oaks, NC 27524-7765
Mailing address
500 Wood Valley Dr
Four Oaks, NC 27524-7765
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 |
|---|---|---|---|
| 1978 | NC | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1394755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537315200000",
"number": "1144646159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 WOOD VALLEY DR",
"city": "FOUR OAKS",
"state": "NC",
"postal_code": "275247765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 WOOD VALLEY DR",
"city": "FOUR OAKS",
"state": "NC",
"postal_code": "275247765",
"telephone_number": "678-977-7561"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREEN",
"first_name": "AMBER",
"credential": "MAT, LAT, ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-14",
"last_updated": "2018-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NC",
"license": "1978",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Four Oaks, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.