Active NPI
Wendy Hebert, ATC
- Athletic Trainer
- Miami, FL
National Provider Identifier
1306243183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AL1284
- Practice address
- 11011 SW 104TH St
Miami, FL 33176-3330 - Phone
- (305) 223-3760
- Fax
- (305) 223-3760
- NPI assigned
- Nov 22, 2014
- 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 | AL1284 | FL | Primary |
Addresses
Primary practice location
11011 SW 104TH St
Miami, FL 33176-3330
Mailing address
2820 SW 105TH Ave
Miami, FL 33165-2732
Phone (305) 223-3760
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AL1284 | Other | FL | ATHLETIC TRAINER LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| AL1284 | FL | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416614400000",
"number": "1306243183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2820 SW 105TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331652732",
"telephone_number": "305-223-3760",
"fax_number": "305-223-3760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11011 SW 104TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331763330",
"telephone_number": "305-223-3760",
"fax_number": "305-223-3760"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEBERT",
"first_name": "WENDY",
"name_prefix": "Dr.",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-11-22",
"last_updated": "2014-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "FL",
"license": "AL1284",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ATHLETIC TRAINER LICENSE",
"identifier": "AL1284",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.