Individual provider Active NPI

Stacy Ann Schurr, ATC

  • Athletic Trainer
  • Charlottesville, VA
National Provider Identifier
1336539055
Registry record updated Feb 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
0126002174 Issued in VA
Practice address
192 Yellowstone Dr
Apt 308
Charlottesville, VA 22903-8120
Phone
(605) 377-3304
NPI assigned
Feb 2, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2015

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 0126002174 VA Primary

Addresses

Primary practice location

192 Yellowstone Dr
Apt 308
Charlottesville, VA 22903-8120

Mailing address

192 Yellowstone Dr
Apt 308
Charlottesville, VA 22903-8120
Phone (605) 377-3304

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
0126002174VAMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1422835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422835200000",
    "number": "1336539055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "192 YELLOWSTONE DR",
            "address_2": "APT 308",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229038120",
            "telephone_number": "605-377-3304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "192 YELLOWSTONE DR",
            "address_2": "APT 308",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229038120",
            "telephone_number": "605-377-3304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHURR",
        "first_name": "STACY",
        "middle_name": "ANN",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-02",
        "last_updated": "2015-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "VA",
            "license": "0126002174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.