Individual provider Active NPI

Haley Anne Liptrap, MSAT, LAT, ATC

  • Athletic Trainer
  • Manchester, NH
National Provider Identifier
1215550298
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
1581 Issued in NH
Practice address
9 Notre Dame Ave
Manchester, NH 03102-3935
Phone
(603) 624-6384
NPI assigned
May 25, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Basic Emergency Medical Technician 146N00000X 34764 NH
Basic Emergency Medical Technician 146N00000X 563610 FL
Athletic Trainer 2255A2300X AT03247
Athletic Trainer 2255A2300X 1581 NH Primary

Addresses

Primary practice location

9 Notre Dame Ave
Manchester, NH 03102-3935

Mailing address

35 Kosciuszko St
Manchester, NH 03101-1608

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

State licenses

LicenseStateTypeSpecialty
563610FLMDBasic Emergency Medical Technician
34764NHMDBasic Emergency Medical Technician

NPI Registry JSON

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

{
    "created_epoch": "1590364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1215550298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 KOSCIUSZKO ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031011608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 NOTRE DAME AVE",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031023935",
            "telephone_number": "603-624-6384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPTRAP",
        "first_name": "HALEY",
        "middle_name": "ANNE",
        "name_prefix": "Miss",
        "credential": "MSAT, LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-25",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "NH",
            "license": "34764",
            "primary": false
        },
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "FL",
            "license": "563610",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": "AT03247",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NH",
            "license": "1581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; 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.