Individual provider Active NPI

Breanna Cugliari, MS, ATC

  • Athletic Trainer
  • Cincinnati, OH
National Provider Identifier
1285019976
Registry record updated Jul 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
AT.003629 Issued in OH
Practice address
106 Anderson Ferry Rd
Apt. 47
Cincinnati, OH 45238-5956
Phone
(330) 204-6715
NPI assigned
Jul 23, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2015

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 AT.003629 OH Primary

Addresses

Primary practice location

106 Anderson Ferry Rd
Apt. 47
Cincinnati, OH 45238-5956

Mailing address

106 Anderson Ferry Rd
Apt. 47
Cincinnati, OH 45238-5956

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
AT.003629OHMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1437609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437609600000",
    "number": "1285019976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 ANDERSON FERRY RD",
            "address_2": "APT. 47",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452385956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 ANDERSON FERRY RD",
            "address_2": "APT. 47",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452385956",
            "telephone_number": "330-204-6715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUGLIARI",
        "first_name": "BREANNA",
        "credential": "MS, ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-23",
        "last_updated": "2015-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "OH",
            "license": "AT.003629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2015; 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.