Stephanie Donaldson, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

9050 Vicino Dr
Elk Grove, CA 95758-5859

Phone

(916) 761-7188

NPI assigned

Oct 14, 2015

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Stephanie Muncy Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1444780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444780800000",
    "number": "1346611431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9050 VICINO DR",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957585859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9050 VICINO DR",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957585859",
            "telephone_number": "916-761-7188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONALDSON",
        "first_name": "STEPHANIE",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-14",
        "last_updated": "2015-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "MUNCY",
            "credential": "ATC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gregory Brian Doe, PHARM.D.
• Diana Domingo
• Gabriella Dominguez
• Suzana Dominguez
• Angelina Domoe, BCBA
• Rachel K. Dong, MD
• Ynhu Vivian Dong, PHARM.D.
• Seth Donnelly
• Jason Dorminey, D.M.D.
• Ashley Doss, LPCC

• Athletic Trainer in Elk Grove, CA
• Providers in Elk Grove, CA by specialty
• Athletic Trainer in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.