Active NPI
Andrew Douglas Parker
- Athletic Trainer
- Frederick, CO
National Provider Identifier
1194675199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT.0002401
- Practice address
- 5690 Tipple Pkwy
Frederick, CO 80504-9501 - Phone
- (970) 829-7535
- NPI assigned
- Jan 29, 2026
- 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 | AT.0002401 | CO | Primary |
Addresses
Primary practice location
5690 Tipple Pkwy
Frederick, CO 80504-9501
Mailing address
503 S Rollie Ave Unit 3E
Fort Lupton, CO 80621-8383
Phone (303) 345-7871
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT.0002401 | CO | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1769644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769644800000",
"number": "1194675199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "503 S ROLLIE AVE UNIT 3E",
"city": "FORT LUPTON",
"state": "CO",
"postal_code": "806218383",
"telephone_number": "303-345-7871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5690 TIPPLE PKWY",
"city": "FREDERICK",
"state": "CO",
"postal_code": "805049501",
"telephone_number": "970-829-7535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKER",
"first_name": "ANDREW",
"middle_name": "DOUGLAS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-01-29",
"last_updated": "2026-01-29",
"certification_date": "2026-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "CO",
"license": "AT.0002401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Frederick, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.