Active NPI
Michael Francis Stant, ATC
- Athletic Trainer
- Newark, DE
National Provider Identifier
1225674633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- J3-0000724
- 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
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 | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| J3-0000724 | DE | MD | Athletic 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.