Active NPI
Anna Newton, LAT, ATC
- Athletic Trainer
- Albemarle, NC
National Provider Identifier
1336688035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 0126002405
- Practice address
- 311 Park Ridge Rd
Albemarle, NC 28001-2818 - Phone
- (980) 287-5844
- NPI assigned
- Feb 15, 2017
- Last updated
- Mar 13, 2020
- 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 | 0126002405 | VA | Primary |
Addresses
Primary practice location
311 Park Ridge Rd
Albemarle, NC 28001-2818
Mailing address
311 Park Ridge Rd
Albemarle, NC 28001-2818
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 |
|---|---|---|---|
| 0126002405 | VA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584057600000",
"number": "1336688035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "311 PARK RIDGE RD",
"city": "ALBEMARLE",
"state": "NC",
"postal_code": "280012818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 PARK RIDGE RD",
"city": "ALBEMARLE",
"state": "NC",
"postal_code": "280012818",
"telephone_number": "980-287-5844"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWTON",
"first_name": "ANNA",
"credential": "LAT, ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-02-15",
"last_updated": "2020-03-13",
"certification_date": "2020-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "VA",
"license": "0126002405",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albemarle, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.