Individual provider Active NPI

Sadie Jo Harris, ATC/ L, LMT

  • Athletic Trainer
  • Murfreesboro, TN
National Provider Identifier
1295124824
Registry record updated Jan 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
1297 Issued in TN
Practice address
Department of Health and Human Performance
Amg
Murfreesboro, TN 37132-0001
Phone
(615) 424-6912
NPI assigned
Jan 20, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2015

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 1297 TN Primary
Massage Therapist 225700000X 8143 TN

Addresses

Primary practice location

Department of Health and Human Performance
Amg
Murfreesboro, TN 37132-0001

Mailing address

Department of Health and Human Performance
Murphy Center P. O. Box 96
Murfreesboro, TN 37132-0001
Phone (615) 424-6912

Other names 1

  • Miss Sadie Jo Coffer 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
8143TNMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1421712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421712000000",
    "number": "1295124824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPARTMENT OF HEALTH AND HUMAN PERFORMANCE",
            "address_2": "MURPHY CENTER P. O. BOX 96",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371320001",
            "telephone_number": "615-424-6912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DEPARTMENT OF HEALTH AND HUMAN PERFORMANCE",
            "address_2": "AMG",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371320001",
            "telephone_number": "615-424-6912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "SADIE",
        "middle_name": "JO",
        "name_prefix": "Mrs.",
        "credential": "ATC/ L, LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-20",
        "last_updated": "2015-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TN",
            "license": "1297",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TN",
            "license": "8143",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SADIE",
            "last_name": "COFFER",
            "middle_name": "JO",
            "prefix": "MISS",
            "credential": "ATC/L, LMT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Murfreesboro, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.