Individual provider Active NPI

Amanda Paige Youse, ATC

  • Athletic Trainer
  • Souderton, PA
National Provider Identifier
1255397055
Registry record updated Aug 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
RT003529 Issued in PA
Practice address
249 Allentown Rd
Health Care Unit
Souderton, PA 18964-0000
Phone
(215) 723-5559
NPI assigned
Apr 21, 2006
Last updated
Aug 21, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2007

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 RT003529 PA Primary

Addresses

Primary practice location

249 Allentown Rd
Health Care Unit
Souderton, PA 18964-0000

Mailing address

200 N Reading Ave
Boyertown, PA 19512-1014
Phone (610) 367-8532

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
RT003529PAMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187654400000",
    "number": "1255397055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N READING AVE",
            "city": "BOYERTOWN",
            "state": "PA",
            "postal_code": "195121014",
            "telephone_number": "610-367-8532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 ALLENTOWN RD",
            "address_2": "HEALTH CARE UNIT",
            "city": "SOUDERTON",
            "state": "PA",
            "postal_code": "189640000",
            "telephone_number": "215-723-5559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUSE",
        "first_name": "AMANDA",
        "middle_name": "PAIGE",
        "name_prefix": "Miss",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-21",
        "last_updated": "2007-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "PA",
            "license": "RT003529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Souderton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2007; 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.