Individual provider Active NPI

Michael Francis Stant, ATC

  • Athletic Trainer
  • Newark, DE
National Provider Identifier
1225674633
Registry record updated Nov 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
J3-0000724 Issued in DE
Practice address
Delaware Field House
617 South College Avenue RM 111B
Newark, DE 19713
Phone
(302) 535-2173
NPI assigned
Nov 20, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2019

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 J3-0000724 DE Primary

Addresses

Primary practice location

Delaware Field House
617 South College Avenue RM 111B
Newark, DE 19713

Mailing address

Delaware Field House
617 South College Avenue RM 111B
Newark, DE 19713

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mstant@udel.edu Direct

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
J3-0000724DEMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1574208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574208000000",
    "number": "1225674633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DELAWARE FIELD HOUSE",
            "address_2": "617 SOUTH COLLEGE AVENUE RM 111B",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "19713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DELAWARE FIELD HOUSE",
            "address_2": "617 SOUTH COLLEGE AVENUE RM 111B",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "19713",
            "telephone_number": "302-535-2173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANT",
        "first_name": "MICHAEL",
        "middle_name": "FRANCIS",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-11-20",
        "last_updated": "2019-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "DE",
            "license": "J3-0000724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mstant@udel.edu",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "Delaware Field House",
            "address_2": "617 South College Avenue Rm 111B",
            "city": "Newark",
            "state": "DE",
            "country_code": "US",
            "postal_code": "19713",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2019; 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.