Active NPI
Sarah Chmelik
- Athletic Trainer
- Moscow, ID
National Provider Identifier
1154813467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 875 Perimeter Dr # Ms 2401
Moscow, ID 83844-9803 - Phone
- (208) 791-6458
- NPI assigned
- Jun 1, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 | Primary |
Addresses
Primary practice location
875 Perimeter Dr # Ms 2401
Moscow, ID 83844-9803
Mailing address
227 St Michaels Rd
Cottonwood, ID 83522-5211
Phone (208) 791-6458
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": "1527811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527811200000",
"number": "1154813467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "227 ST MICHAELS RD",
"city": "COTTONWOOD",
"state": "ID",
"postal_code": "835225211",
"telephone_number": "208-791-6458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "875 PERIMETER DR # MS 2401",
"city": "MOSCOW",
"state": "ID",
"postal_code": "838449803",
"telephone_number": "208-791-6458"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHMELIK",
"first_name": "SARAH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-06-01",
"last_updated": "2018-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Moscow, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.