Individual provider Active NPI

Alicia Catherine Ingargiola, ATC

  • Athletic Trainer
  • Tuscaloosa, AL
National Provider Identifier
1144850132
Registry record updated Jan 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
2000016141 Issued in AL
Practice address
900 Hargrove Rd Apt 18
Tuscaloosa, AL 35401-4857
Phone
(732) 757-1708
NPI assigned
Jan 19, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 2000016141 AL Primary

Addresses

Primary practice location

900 Hargrove Rd Apt 18
Tuscaloosa, AL 35401-4857

Mailing address

900 Hargrove Rd Apt 18
Tuscaloosa, AL 35401-4857
Phone (732) 757-1708

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

LicenseStateTypeSpecialty
2000016141ALMDAthletic Trainer

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1579392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579392000000",
    "number": "1144850132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 HARGROVE RD APT 18",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354014857",
            "telephone_number": "732-757-1708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 HARGROVE RD APT 18",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354014857",
            "telephone_number": "732-757-1708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INGARGIOLA",
        "first_name": "ALICIA",
        "middle_name": "CATHERINE",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-19",
        "last_updated": "2020-01-19",
        "certification_date": "2020-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "AL",
            "license": "2000016141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.

Verify at the official NPI Registry.