Active NPI
Alaina Brown, MATRG, NREMT
- Athletic Trainer
- Burnsville, MN
National Provider Identifier
1144794652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 12 Oak Shore Dr
Burnsville, MN 55306-5506 - Phone
- (952) 388-9062
- NPI assigned
- Jan 17, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | Primary | ||
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
12 Oak Shore Dr
Burnsville, MN 55306-5506
Mailing address
12 Oak Shore Dr
Burnsville, MN 55306-5506
Phone (952) 388-9062
Other practice location 1
701 6th St E
West Fargo, ND 58078-2927
Phone (952) 388-9062
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": "1547683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593129600000",
"number": "1144794652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 OAK SHORE DR",
"city": "BURNSVILLE",
"state": "MN",
"postal_code": "553065506",
"telephone_number": "952-388-9062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 OAK SHORE DR",
"city": "BURNSVILLE",
"state": "MN",
"postal_code": "553065506",
"telephone_number": "952-388-9062"
}
],
"practiceLocations": [
{
"address_1": "701 6th St E",
"address_purpose": "LOCATION",
"city": "West Fargo",
"state": "ND",
"postal_code": "580782927",
"country_code": "US",
"telephone_number": "952-388-9062",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROWN",
"first_name": "ALAINA",
"credential": "MATRG, NREMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-17",
"last_updated": "2020-06-26",
"certification_date": "2020-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burnsville, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.