Active NPI
Michelle L Gifford, ATC
- Athletic Trainer
- Corinth, MS
National Provider Identifier
1336343151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT0295
- Practice address
- 1001 S Harper Rd
Corinth, MS 38834-6646 - Phone
- (662) 287-1400
- Fax
- (662) 287-8005
- NPI assigned
- Jun 14, 2007
- Sex
- Female
- Sole proprietor
- No
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 | AT0295 | MS | Primary |
Addresses
Primary practice location
1001 S Harper Rd
Corinth, MS 38834-6646
Mailing address
18 A County Road 337
Glen, MS 38846
Phone (662) 462-5939
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 |
|---|---|---|---|
| AT0295 | MS | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1336343151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 A COUNTY ROAD 337",
"city": "GLEN",
"state": "MS",
"postal_code": "38846",
"telephone_number": "662-462-5939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 S HARPER RD",
"city": "CORINTH",
"state": "MS",
"postal_code": "388346646",
"telephone_number": "662-287-1400",
"fax_number": "662-287-8005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIFFORD",
"first_name": "MICHELLE",
"middle_name": "L",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MS",
"license": "AT0295",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Corinth, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.