Amberle Phillips

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

308 Damascus Dr
Summerville, SC 29483-9278

Phone

(630) 542-9001

NPI assigned

Apr 28, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Amberle Trinder Former name

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": "1461801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461801600000",
    "number": "1174978019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 DAMASCUS DR",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294839278",
            "telephone_number": "630-542-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 DAMASCUS DR",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294839278",
            "telephone_number": "630-542-9001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "AMBERLE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-28",
        "last_updated": "2016-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMBERLE",
            "last_name": "TRINDER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lauren Peterson, DO
• Michelle Felice Peterson, APRN
• Janet M Petitte, MS CCC/A
• Donna Pettick, OTR/L
• Angela Renee Phelps, CCC-SLP
• Kay W. Phillips, PHD., LISW-CP
• Austin Philpott
• Nellie Phoenix-McCoy, BT
• Andrea C Pilch, OTR/L
• Pillpack LLC

• Athletic Trainer in Summerville, SC
• Providers in Summerville, SC by specialty
• Athletic Trainer in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2016; 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.