Active NPI
Danielle Corissa York, ATC
- Athletic Trainer
- Modesto, CA
National Provider Identifier
1285278366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 2000011306
- Practice address
- 523 Glass LN Ste 4a
Modesto, CA 95356-9233 - Phone
- (209) 284-1909
- NPI assigned
- Nov 1, 2019
- 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 | 2000011306 | Primary |
Addresses
Primary practice location
523 Glass LN Ste 4a
Modesto, CA 95356-9233
Mailing address
1425 East Ave
Turlock, CA 95380-4210
Phone (209) 485-4882
Other names 1
- Danielle Corissa Stern
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572566400000",
"number": "1285278366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1425 EAST AVE",
"city": "TURLOCK",
"state": "CA",
"postal_code": "953804210",
"telephone_number": "209-485-4882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "523 GLASS LN STE 4A",
"city": "MODESTO",
"state": "CA",
"postal_code": "953569233",
"telephone_number": "209-284-1909"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YORK",
"first_name": "DANIELLE",
"middle_name": "CORISSA",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-11-01",
"last_updated": "2019-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": "2000011306",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DANIELLE",
"last_name": "STERN",
"middle_name": "CORISSA",
"credential": "ATC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.