Active NPI
Christine Duffy, ATC, LAT
- Athletic Trainer
- Spanish Fork, UT
National Provider Identifier
1255007134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 12400335-4810
- Practice address
- South Spanish Fork Pkwy
Spanish Fork, UT 84660 - Phone
- (801) 794-6740
- NPI assigned
- Aug 19, 2021
- 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 | 12400335-4810 | UT | Primary |
Addresses
Primary practice location
South Spanish Fork Pkwy
Spanish Fork, UT 84660
Mailing address
760 N 300 E Apt 2
Provo, UT 84606-2203
Phone (949) 613-6881
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 |
|---|---|---|---|
| 12400335-4810 | UT | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629331200000",
"number": "1255007134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "760 N 300 E APT 2",
"city": "PROVO",
"state": "UT",
"postal_code": "846062203",
"telephone_number": "949-613-6881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "SOUTH SPANISH FORK PKWY",
"city": "SPANISH FORK",
"state": "UT",
"postal_code": "84660",
"telephone_number": "801-794-6740"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUFFY",
"first_name": "CHRISTINE",
"credential": "ATC, LAT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-19",
"last_updated": "2021-08-19",
"certification_date": "2021-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "UT",
"license": "12400335-4810",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spanish Fork, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.