Individual provider Active NPI

Christopher Warren Peters, MED ATC LAT

  • Athletic Trainer
  • Bradenton,, FL
National Provider Identifier
1215030119
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
AL 1918 Issued in FL
Practice address
902 33Rd St. CT. West
Bradenton,, FL 34205
Phone
(941) 714-7300
Fax
(941) 741-3443
NPI assigned
Sep 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X AL 1918 FL Primary

Addresses

Primary practice location

902 33Rd St. CT. West
Bradenton,, FL 34205

Mailing address

4112 52ND Street CT W
Bradenton, FL 34209-6758
Phone (941) 714-7300

Other names 1

  • Chris Peters Other name

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
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
AL 1918FLMDAthletic Trainer

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215030119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4112 52ND STREET CT W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342096758",
            "telephone_number": "941-714-7300",
            "fax_number": "941-741-3443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 33RD ST. CT. WEST",
            "city": "BRADENTON,",
            "state": "FL",
            "postal_code": "34205",
            "telephone_number": "941-714-7300",
            "fax_number": "941-741-3443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "CHRISTOPHER",
        "middle_name": "WARREN",
        "name_prefix": "Mr.",
        "credential": "MED ATC LAT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "AL 1918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRIS",
            "last_name": "PETERS",
            "credential": "MED ATC LAT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bradenton,, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.