Active NPI
Carolyn Billings
- Athletic Trainer
- Provo, UT
National Provider Identifier
1376016790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 63321744810
- Practice address
- 1140 Smith Fieldhouse
Provo, UT 84602-2246 - Phone
- (801) 368-5155
- NPI assigned
- Jan 8, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 63321744810 | UT | MD | Athletic Trainer |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 63321744810 | UT | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1140 Smith Fieldhouse
Provo, UT 84602-2246
Mailing address
1140 Smith Fieldhouse
Provo, UT 84602-2246
Phone (801) 368-5155
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 8, 2019.
{
"created_epoch": "1546905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546905600000",
"number": "1376016790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1140 SMITH FIELDHOUSE",
"city": "PROVO",
"state": "UT",
"postal_code": "846022246",
"telephone_number": "801-368-5155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1140 SMITH FIELDHOUSE",
"city": "PROVO",
"state": "UT",
"postal_code": "846022246",
"telephone_number": "801-368-5155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BILLINGS",
"first_name": "CAROLYN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-01-08",
"last_updated": "2019-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "UT",
"license": "63321744810",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Provo, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.