Active NPI
Abigail Marie Elies, ATC/LAT
- Athletic Trainer
- Doral, FL
National Provider Identifier
1306346911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AL3531
- Practice address
- 11100 NW 27TH St
Doral, FL 33172-5001 - Phone
- (407) 435-1172
- NPI assigned
- Feb 20, 2018
- 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 | AL3531 | FL | Primary |
Addresses
Primary practice location
11100 NW 27TH St
Doral, FL 33172-5001
Mailing address
8160 W 28TH CT Unit 202
Hialeah, FL 33018-5109
Phone (407) 435-1172
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 |
|---|---|---|---|
| AL3531 | FL | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519084800000",
"number": "1306346911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8160 W 28TH CT UNIT 202",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330185109",
"telephone_number": "407-435-1172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11100 NW 27TH ST",
"city": "DORAL",
"state": "FL",
"postal_code": "331725001",
"telephone_number": "407-435-1172"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELIES",
"first_name": "ABIGAIL",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "ATC/LAT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-02-20",
"last_updated": "2018-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "FL",
"license": "AL3531",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Doral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.