Active NPI
Gabrielle Latrice Haubenstricker, MBA, ATC, LAT
- Athletic Trainer
- Rockville, MD
National Provider Identifier
1215447271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- A00538
- Practice address
- 9901 Medical Center Dr
Rockville, MD 20850-3357 - Phone
- (240) 826-6000
- NPI assigned
- Oct 4, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | A00538 | MD | Primary |
Addresses
Primary practice location
9901 Medical Center Dr
Rockville, MD 20850-3357
Mailing address
712 Columbus Dr
Glen Burnie, MD 21061-4990
Phone (443) 994-7316
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 Business Administration
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A00538 | MD | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1507075200000",
"number": "1215447271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "712 COLUMBUS DR",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210614990",
"telephone_number": "443-994-7316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9901 MEDICAL CENTER DR",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208503357",
"telephone_number": "240-826-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAUBENSTRICKER",
"first_name": "GABRIELLE",
"middle_name": "LATRICE",
"name_prefix": "Ms.",
"credential": "MBA, ATC, LAT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-04",
"last_updated": "2017-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MD",
"license": "A00538",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.