Active NPI
Rebecca Irene Branstetter
- Athletic Trainer
- Deer Lodge, TN
National Provider Identifier
1205576758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 2948
- Practice address
- 1230 Lloyd Hall Loop
Deer Lodge, TN 37726-3057 - Phone
- (931) 704-0145
- NPI assigned
- Mar 31, 2022
- Last updated
- Sep 29, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | TN | ||
| Athletic Trainer | 2255A2300X | 2948 | TN | Primary |
Addresses
Primary practice location
1230 Lloyd Hall Loop
Deer Lodge, TN 37726-3057
Mailing address
1230 Lloyd Hall Loop
Deer Lodge, TN 37726-3057
Phone (931) 704-0145
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": "1648684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664409600000",
"number": "1205576758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1230 LLOYD HALL LOOP",
"city": "DEER LODGE",
"state": "TN",
"postal_code": "377263057",
"telephone_number": "931-704-0145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1230 LLOYD HALL LOOP",
"city": "DEER LODGE",
"state": "TN",
"postal_code": "377263057",
"telephone_number": "931-704-0145"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANSTETTER",
"first_name": "REBECCA",
"middle_name": "IRENE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-31",
"last_updated": "2022-09-29",
"certification_date": "2022-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "TN",
"license": null,
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "TN",
"license": "2948",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Deer Lodge, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.