Morgan Perry, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2586 Issued in TN

Practice address

1350 King College Rd
Bristol, TN 37620-2632

Phone

(423) 652-6349

NPI assigned

Sep 7, 2017

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

Other identifiers 1

Electronic endpoints 1

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": "1504742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604534400000",
    "number": "1356869671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 HARVARD AVE",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "120101333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 KING COLLEGE RD",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376202632",
            "telephone_number": "423-652-6349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "MORGAN",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-07",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TN",
            "license": "2586",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N/A",
            "identifier": "00000000",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "n/a",
            "affiliation": "N",
            "address_1": "1350 King College Rd",
            "city": "Bristol",
            "state": "TN",
            "country_code": "US",
            "postal_code": "376202632",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Danielle Raven Pender, FNP
• Joe Taylor Pendergrass, RN
• Priscilla Reece Pennings, FNP
• Jarvis Ethan Pennington
• Benjamin Perrin, DPT
• Tim A Perry, LPC MHSP MA
• Charles Peters
• Destenee Kimi-Taylor Pham
• Peter Diem Dinh Pham
• Alyssa Phelps, M.D.

• Athletic Trainer in Bristol, TN
• Providers in Bristol, TN by specialty
• Athletic Trainer in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.

Verify at the official NPI Registry.