Active NPI
Connor Gearhart
- Athletic Trainer
- Normal, IL
National Provider Identifier
1184092512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- Kaufman Football Building
Campus Box 7160
Normal, IL 61790-7160 - Phone
- (918) 527-1178
- NPI assigned
- Sep 2, 2015
- Sex
- Male
- 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
Kaufman Football Building
Campus Box 7160
Normal, IL 61790-7160
Mailing address
Kaufman Football Building
Campus Box 7160
Normal, IL 61790-7160
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": "1441152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441152000000",
"number": "1184092512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "KAUFMAN FOOTBALL BUILDING",
"address_2": "CAMPUS BOX 7160",
"city": "NORMAL",
"state": "IL",
"postal_code": "617907160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "KAUFMAN FOOTBALL BUILDING",
"address_2": "CAMPUS BOX 7160",
"city": "NORMAL",
"state": "IL",
"postal_code": "617907160",
"telephone_number": "918-527-1178"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEARHART",
"first_name": "CONNOR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-09-02",
"last_updated": "2015-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Normal, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.