Cody Stubblefield, ATC, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT797 Issued in AR

Practice address

301 N Ella St
Searcy, AR 72143-3214

Phone

(501) 268-8315

NPI assigned

Jun 26, 2018

Last updated

Jun 26, 2018By the provider in NPPES

Sex

Male

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": "1529971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529971200000",
    "number": "1366937955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 N ELLA ST",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721433214",
            "telephone_number": "615-519-6460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N ELLA ST",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721433214",
            "telephone_number": "501-268-8315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUBBLEFIELD",
        "first_name": "CODY",
        "credential": "ATC, LAT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-26",
        "last_updated": "2018-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "AR",
            "license": "AT797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tanya Stewart, CIT
• Jeter L Stinnett, MD
• Stotts Drug Co, Inc. (Stotts Drug Co)
• Elena Strother Strickland, RN
• Brady Stubblefield, PA-C
• Seth Elias Sturgill
• Esmeralda Suarez, PLMSW
• Olivia Suarez, SLP
• Tahrier Walid Sub Laban
• Chandra T Suberano

• Athletic Trainer in Searcy, AR
• Providers in Searcy, AR by specialty
• Athletic Trainer in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.