Active NPI
Elexis Arnold, ATC
- Athletic Trainer
- Montgomery, AL
National Provider Identifier
1174247142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 1500 E Fairview Ave
Montgomery, AL 36106-2148 - Phone
- (348) 334-4333
- NPI assigned
- Oct 3, 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 | Primary |
Addresses
Primary practice location
1500 E Fairview Ave
Montgomery, AL 36106-2148
Mailing address
521 Hardwood LN
Birmingham, AL 35215-1244
Phone (205) 757-1769
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | earnold@hawks.huntingdon.edu |
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": "1664755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687996800000",
"number": "1174247142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "521 HARDWOOD LN",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352151244",
"telephone_number": "205-757-1769"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 E FAIRVIEW AVE",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361062148",
"telephone_number": "348-334-4333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARNOLD",
"first_name": "ELEXIS",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-03",
"last_updated": "2023-06-29",
"certification_date": "2023-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "earnold@hawks.huntingdon.edu",
"affiliation": "N",
"address_1": "521 Hardwood Ln",
"city": "Birmingham",
"state": "AL",
"country_code": "US",
"postal_code": "352151244",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Montgomery, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.