Anna Marie Matthews Braun, L.A.T.

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2007032046 Issued in MO

Practice address

20 Allen Ave
Suite 300
Webster Groves, MO 63119-2344

Phone

(314) 961-3787

Fax

(314) 961-0974

NPI assigned

Nov 28, 2007

Last updated

Jan 20, 2012By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sports Medicine and Training Center

  • Physical Therapy Clinic/Center
  • Saint Louis, MO
  • NPI 1790873883
  NPD (past)

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

{
    "created_epoch": "1196208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327017600000",
    "number": "1356523609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 ALLEN AVE",
            "address_2": "SUITE 300",
            "city": "WEBSTER GROVES",
            "state": "MO",
            "postal_code": "631192344",
            "telephone_number": "314-961-3787",
            "fax_number": "314-961-0974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 ALLEN AVE",
            "address_2": "SUITE 300",
            "city": "WEBSTER GROVES",
            "state": "MO",
            "postal_code": "631192344",
            "telephone_number": "314-961-3787",
            "fax_number": "314-961-0974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAUN",
        "first_name": "ANNA",
        "middle_name": "MARIE MATTHEWS",
        "credential": "L.A.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-28",
        "last_updated": "2012-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MO",
            "license": "2007032046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Birk Dental LLC (Webster Family Dental)
• Joseph Gavin Biver
• Blooming Minds Therapy
• Kayla Blow
• Stacy Bowring, LCSW
• Tammy L Bunger, COTA
• Adam John Busby, COTA/L
• Megan Gieseler Busiek, M.S., CCC-SLP
• Robert Ernest Butler, DDS
• Corinne Michelle Char, MSW, LMSW

• Athletic Trainer in Webster Groves, MO
• Providers in Webster Groves, MO by specialty
• Athletic Trainer in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2012; 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.