Active NPI
Amy Mikayla Yoerg, ATC
- Athletic Trainer
- Pensacola, FL
National Provider Identifier
1144931403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AL6249
- Practice address
- 11000 University Pkwy BLDG 54
Pensacola, FL 32514-5750 - Phone
- (850) 474-3003
- NPI assigned
- Dec 7, 2022
- Last updated
- Dec 7, 2022
- 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 | AL6249 | FL | Primary |
Addresses
Primary practice location
11000 University Pkwy BLDG 54
Pensacola, FL 32514-5750
Mailing address
8800 Pine Forest Rd Apt 10304
Pensacola, FL 32534-5338
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 |
|---|---|---|---|
| AL6249 | FL | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670371200000",
"number": "1144931403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8800 PINE FOREST RD APT 10304",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325345338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11000 UNIVERSITY PKWY BLDG 54",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325145750",
"telephone_number": "850-474-3003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOERG",
"first_name": "AMY",
"middle_name": "MIKAYLA",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-07",
"last_updated": "2022-12-07",
"certification_date": "2022-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "FL",
"license": "AL6249",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.