Individual provider Active NPI

Linda Marie Clarke, AT

  • Athletic Trainer
  • Cincinnati, OH
National Provider Identifier
1295037802
Registry record updated Jan 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
AT.003336 Issued in OH
Practice address
4701 Creek Rd
Suite 110
Cincinnati, OH 45242-8398
Phone
(513) 554-8080
Fax
(513) 554-8082
NPI assigned
Dec 2, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2013

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.003336 OH Primary

Addresses

Primary practice location

4701 Creek Rd
Suite 110
Cincinnati, OH 45242-8398

Mailing address

4701 Creek Rd
Suite 110
Cincinnati, OH 45242-8398
Phone (513) 733-9333

Other names 1

  • Linda Marie Mueller Former name

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
AT.003336OHMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1291248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357084800000",
    "number": "1295037802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 CREEK RD",
            "address_2": "SUITE 110",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452428398",
            "telephone_number": "513-733-9333",
            "fax_number": "513-588-2479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 CREEK RD",
            "address_2": "SUITE 110",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452428398",
            "telephone_number": "513-554-8080",
            "fax_number": "513-554-8082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARKE",
        "first_name": "LINDA",
        "middle_name": "MARIE",
        "credential": "AT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-02",
        "last_updated": "2013-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "OH",
            "license": "AT.003336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDA",
            "last_name": "MUELLER",
            "middle_name": "MARIE",
            "credential": "AT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Jan 2, 2013; 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.