Active NPI
Gretchen E. Buskirk, ATC
- Athletic Trainer
- Ypsilanti, MI
National Provider Identifier
1356481089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 2601002135
- Practice address
- 799 N Hewitt Rd
Ypsilanti, MI 48197-1701 - Phone
- (734) 487-5183
- NPI assigned
- Feb 8, 2007
- Last updated
- May 23, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 2601002135 | MI | Primary |
| Athletic Trainer | 2255A2300X | AT 003271 | OH |
Addresses
Primary practice location
799 N Hewitt Rd
Ypsilanti, MI 48197-1701
Mailing address
799 N Hewitt Rd
Ypsilanti, MI 48197-1701
Phone (734) 487-5183
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AT 003271 | Other | OH | ATHLETIC TRAINER LICENSURE |
| 060402534 | Other | ATHLETIC TRAINER | |
| 2601002135 | Other | MI | ATHLETIC TRAINER STATE LICENSURE |
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 |
|---|---|---|---|
| 2601002135 | MI | MD | Athletic Trainer |
| AT 003271 | OH | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558569600000",
"number": "1356481089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "799 N HEWITT RD",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "481971701",
"telephone_number": "734-487-5183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "799 N HEWITT RD",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "481971701",
"telephone_number": "734-487-5183"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUSKIRK",
"first_name": "GRETCHEN",
"middle_name": "E.",
"name_prefix": "Miss",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-08",
"last_updated": "2019-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MI",
"license": "2601002135",
"primary": true
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "OH",
"license": "AT 003271",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ATHLETIC TRAINER LICENSURE",
"identifier": "AT 003271",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ATHLETIC TRAINER",
"identifier": "060402534",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ATHLETIC TRAINER STATE LICENSURE",
"identifier": "2601002135",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ypsilanti, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.