Individual provider Active NPI

Antonella Valencia

  • Athletic Trainer
  • Littleton, CO
National Provider Identifier
1285145144
Registry record updated Jun 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
AL5595 Issued in FL
Practice address
8362 Erickson Blvd Apt 9304
Littleton, CO 80129
Phone
(239) 200-7114
NPI assigned
Oct 18, 2017
Last updated
Jun 9, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X AL5595 FL Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

8362 Erickson Blvd Apt 9304
Littleton, CO 80129

Mailing address

8362 Erickson Blvd Apt 9304
Littleton, CO 80129-7040
Phone (239) 200-7114

Other practice location 1

808 W Panhellenic Dr
Gainesville, FL 32601
Phone (239) 200-7114

Other practice location 2

808 W Panhellenic Dr
Gainesville, FL 32601
Phone (239) 200-7114

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
AL5595FLMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1508284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560038400000",
    "number": "1285145144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8362 ERICKSON BLVD APT 9304",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801297040",
            "telephone_number": "239-200-7114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8362 ERICKSON BLVD APT 9304",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "80129",
            "telephone_number": "239-200-7114"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "808 W Panhellenic Dr",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "32601",
            "country_code": "US",
            "telephone_number": "239-200-7114",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "808 W Panhellenic Dr",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "32601",
            "country_code": "US",
            "telephone_number": "239-200-7114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VALENCIA",
        "first_name": "ANTONELLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-18",
        "last_updated": "2019-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "AL5595",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.

Verify at the official NPI Registry.