Individual provider Active NPI

Sarah Jean Paul, ATC

  • Athletic Trainer
  • Gainesville, FL
National Provider Identifier
1295191963
Registry record updated Jan 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
AL 4326 Issued in FL
Practice address
121 Gale Lemerand Dr
South End Zone Athletic Training Room
Gainesville, FL 32611-2051
Phone
(970) 405-5912
Fax
(352) 375-4805
NPI assigned
Jan 11, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2016

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 AL 4326 FL Primary

Addresses

Primary practice location

121 Gale Lemerand Dr
South End Zone Athletic Training Room
Gainesville, FL 32611-2051

Mailing address

3918 W 14TH Street Rd
Greeley, CO 80634-2718
Phone (970) 405-5912

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
AL 4326FLMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1452470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452470400000",
    "number": "1295191963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3918 W 14TH STREET RD",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806342718",
            "telephone_number": "970-405-5912",
            "fax_number": "352-375-4805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 GALE LEMERAND DR",
            "address_2": "SOUTH END ZONE ATHLETIC TRAINING ROOM",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326112051",
            "telephone_number": "970-405-5912",
            "fax_number": "352-375-4805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAUL",
        "first_name": "SARAH",
        "middle_name": "JEAN",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-11",
        "last_updated": "2016-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "AL 4326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2016; 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.