Andreya Cracco, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

16 17TH St NE Apt 312
Washington, DC 20002-6670

Phone

(203) 217-5945

NPI assigned

Mar 18, 2020

Last updated

Nov 27, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1584489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1174159404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 17TH ST NE APT 312",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200026670",
            "telephone_number": "203-217-5945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 17TH ST NE APT 312",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200026670",
            "telephone_number": "203-217-5945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRACCO",
        "first_name": "ANDREYA",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-18",
        "last_updated": "2023-11-27",
        "certification_date": "2020-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amc460@georgetown.edu",
            "affiliation": "Y",
            "affiliationName": "Georgetown University",
            "address_1": "37th and O Sts NW",
            "address_2": "1 Darnall Hall",
            "city": "Washington",
            "state": "DC",
            "country_code": "US",
            "postal_code": "200571105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Athletic Trainer in Washington, DC
• Providers in Washington, DC by specialty
• Athletic Trainer in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.