Active NPI
Hilary Jayne Bainbridge, ATC
- Athletic Trainer
- Sebastian, FL
National Provider Identifier
1255500658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AL 1875
- Practice address
- 9001 Sharks Blvd
Sebastian, FL 32958-6465 - Phone
- (772) 564-4248
- Fax
- (772) 564-4334
- NPI assigned
- Feb 29, 2008
- Last updated
- Feb 29, 2008
- Sex
- Female
- 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 | AL 1875 | FL | Primary |
Addresses
Primary practice location
9001 Sharks Blvd
Sebastian, FL 32958-6465
Mailing address
9001 Sharks Blvd
Sebastian, FL 32958-6465
Phone (772) 564-4248
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AL 1875 | Other | FL | LAT |
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 |
|---|---|---|---|
| AL 1875 | FL | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204243200000",
"number": "1255500658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9001 SHARKS BLVD",
"city": "SEBASTIAN",
"state": "FL",
"postal_code": "329586465",
"telephone_number": "772-564-4248",
"fax_number": "772-564-4334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9001 SHARKS BLVD",
"city": "SEBASTIAN",
"state": "FL",
"postal_code": "329586465",
"telephone_number": "772-564-4248",
"fax_number": "772-564-4334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAINBRIDGE",
"first_name": "HILARY",
"middle_name": "JAYNE",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-02-29",
"last_updated": "2008-02-29",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "FL",
"license": "AL 1875",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LAT",
"identifier": "AL 1875",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sebastian, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.