Audrey Marie Baricovich, ATC, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT1253 Issued in KY

Practice address

616 Executive Park
Louisville, KY 40207-4206

Phone

(502) 896-9355

NPI assigned

Aug 28, 2017

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1503878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1346767670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2224 LAUDERDALE RD APT 4",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402051659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 EXECUTIVE PARK",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074206",
            "telephone_number": "502-896-9355"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4011 Shelbyville Rd",
            "address_purpose": "LOCATION",
            "city": "St Matthews",
            "state": "KY",
            "postal_code": "402073122",
            "country_code": "US",
            "telephone_number": "502-893-7625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARICOVICH",
        "first_name": "AUDREY",
        "middle_name": "MARIE",
        "credential": "ATC, LAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-28",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "KY",
            "license": "AT1253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tricia L Barger
• Joseph L Bargione, PHD
• Marsha Marie Barham, APRN, FNP-C
• Brian R Barhorst, M.D.
• Joseph Baribeau
• Rebekah Joy Barido, FNP-BC
• Amanda Barker, PTA
• Brianna Marie Barker, CSW
• Casandra Marie Barker, LMT
• Lindley Barker, RD, LD

• Athletic Trainer in Louisville, KY
• Providers in Louisville, KY by specialty
• Athletic Trainer in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.

Verify at the official NPI Registry.