Active NPI
Andrea Causebrook, ATC
- Athletic Trainer
- North Charleston, SC
National Provider Identifier
1174908016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 9200 University Blvd
Post Office Box 118087
North Charleston, SC 29406-9121 - Phone
- (843) 291-8042
- NPI assigned
- Jul 21, 2015
- 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 | SC | Primary |
Addresses
Primary practice location
9200 University Blvd
Post Office Box 118087
North Charleston, SC 29406-9121
Mailing address
101 Ellen CT
Summerville, SC 29483-3601
Phone (843) 291-8042
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": "1437436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437436800000",
"number": "1174908016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 ELLEN CT",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "294833601",
"telephone_number": "843-291-8042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9200 UNIVERSITY BLVD",
"address_2": "POST OFFICE BOX 118087",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "294069121",
"telephone_number": "843-291-8042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAUSEBROOK",
"first_name": "ANDREA",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-07-21",
"last_updated": "2015-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "SC",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.