Active NPI
Mary T. Stanbra, ATC
- Athletic Trainer
- Auburn, AL
National Provider Identifier
1164631933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 971
- Practice address
- 351 Roosevelt Dr.
Auburn, AL 36831 - Phone
- (334) 844-7250
- NPI assigned
- May 21, 2007
- 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 | 971 | AL | Primary |
Addresses
Primary practice location
351 Roosevelt Dr.
Auburn, AL 36831
Mailing address
2274 Watercrest Dr
Auburn, AL 36830-4117
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 |
|---|---|---|---|
| 971 | AL | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164631933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2274 WATERCREST DR",
"city": "AUBURN",
"state": "AL",
"postal_code": "368304117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "351 ROOSEVELT DR.",
"city": "AUBURN",
"state": "AL",
"postal_code": "36831",
"telephone_number": "334-844-7250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANBRA",
"first_name": "MARY",
"middle_name": "T.",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "AL",
"license": "971",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Auburn, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.