Active NPI
Victoria C Patton, ATC
- Athletic Trainer
- Avondale, CO
National Provider Identifier
1366790933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT.0001071
- Practice address
- 401 US Hwy 50 E
Avondale, CO 81022 - Phone
- (719) 431-1738
- NPI assigned
- Aug 29, 2012
- Last updated
- Aug 29, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AT.0001071 | CO | Primary |
Addresses
Primary practice location
401 US Hwy 50 E
Avondale, CO 81022
Mailing address
401 US Hwy 50 E
PO Box 216
Avondale, CO 81022
Phone (719) 431-1738
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2000006571 | Other | CO | ATHLETIC TRAINING BOARD OF CERTIFICATION |
Other names 1
- Victoria C Reilley
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 |
|---|---|---|---|
| AT.0001071 | CO | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346198400000",
"number": "1366790933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 US HWY 50 E",
"address_2": "PO BOX 216",
"city": "AVONDALE",
"state": "CO",
"postal_code": "81022",
"telephone_number": "719-431-1738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 US HWY 50 E",
"city": "AVONDALE",
"state": "CO",
"postal_code": "81022",
"telephone_number": "719-431-1738"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTON",
"first_name": "VICTORIA",
"middle_name": "C",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-29",
"last_updated": "2012-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "CO",
"license": "AT.0001071",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ATHLETIC TRAINING BOARD OF CERTIFICATION",
"identifier": "2000006571",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "VICTORIA",
"last_name": "REILLEY",
"middle_name": "C",
"credential": "ATC",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Avondale, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.