Active NPI
Mitchell Barnhart, ATC
- Athletic Trainer
- Paradise Valley, AZ
National Provider Identifier
1205341815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 3901 E Stanford Dr
Paradise Valley, AZ 85253-7536 - Phone
- (602) 955-8200
- NPI assigned
- Dec 5, 2017
- Sex
- Male
- 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 | Primary |
Addresses
Primary practice location
3901 E Stanford Dr
Paradise Valley, AZ 85253-7536
Mailing address
2064 N Red Cliff
Sanctuary Box B #3
Mesa, AZ 85207-2636
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ATR-008952 | Other | AZ | ARIZONA BOARD OF ATHLETIC TRAINING |
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": "1512432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650067200000",
"number": "1205341815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2064 N RED CLIFF",
"address_2": "SANCTUARY BOX B #3",
"city": "MESA",
"state": "AZ",
"postal_code": "852072636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3901 E STANFORD DR",
"city": "PARADISE VALLEY",
"state": "AZ",
"postal_code": "852537536",
"telephone_number": "602-955-8200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARNHART",
"first_name": "MITCHELL",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-12-05",
"last_updated": "2022-04-16",
"certification_date": "2022-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARIZONA BOARD OF ATHLETIC TRAINING",
"identifier": "ATR-008952",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Paradise Valley, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.