Active NPI
Estephania Nunez, MS, ATC, LAT
- Athletic Trainer
- Grand Forks, ND
National Provider Identifier
1215305990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 1684-39
- Practice address
- 3450 Ruemmele Rd
Apt 112
Grand Forks, ND 58201-6072 - Phone
- (777) 701-0723
- NPI assigned
- Sep 11, 2015
- Sex
- Female
- 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 | 1684-39 | WI | Primary |
Addresses
Primary practice location
3450 Ruemmele Rd
Apt 112
Grand Forks, ND 58201-6072
Mailing address
3450 Ruemmele Rd
Apt 112
Grand Forks, ND 58201-6072
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1684-39 | WI | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441929600000",
"number": "1215305990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3450 RUEMMELE RD",
"address_2": "APT 112",
"city": "GRAND FORKS",
"state": "ND",
"postal_code": "582016072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3450 RUEMMELE RD",
"address_2": "APT 112",
"city": "GRAND FORKS",
"state": "ND",
"postal_code": "582016072",
"telephone_number": "777-701-0723"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NUNEZ",
"first_name": "ESTEPHANIA",
"credential": "MS, ATC, LAT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-09-11",
"last_updated": "2015-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "WI",
"license": "1684-39",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Forks, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.