Active NPI
Chiquitta Leola Nicole McBrayer, LAT ATC
- Athletic Trainer
- Red Bay, AL
National Provider Identifier
1376092874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 1524
- Practice address
- 211 Hospital Rd
Red Bay, AL 35582-3858 - Phone
- (256) 460-7111
- NPI assigned
- Sep 25, 2016
- 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 | 1524 | AL | Primary |
Addresses
Primary practice location
211 Hospital Rd
Red Bay, AL 35582-3858
Mailing address
9602 Holt Springer Rd
Athens, AL 35611-8162
Phone (256) 460-7111
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2000014549 | Other | AL | BOARD OF CERTIFICATION NUMBER |
| 8123035 | Other | AL | DRIVERS LICENSE |
| 1524 | Other | AL | STATE ATHLETIC TRAINER LICENSE |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474761600000",
"number": "1376092874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9602 HOLT SPRINGER RD",
"city": "ATHENS",
"state": "AL",
"postal_code": "356118162",
"telephone_number": "256-460-7111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 HOSPITAL RD",
"city": "RED BAY",
"state": "AL",
"postal_code": "355823858",
"telephone_number": "256-460-7111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCBRAYER",
"first_name": "CHIQUITTA",
"middle_name": "LEOLA NICOLE",
"credential": "LAT ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-09-25",
"last_updated": "2016-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "AL",
"license": "1524",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF CERTIFICATION NUMBER",
"identifier": "2000014549",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVERS LICENSE",
"identifier": "8123035",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE ATHLETIC TRAINER LICENSE",
"identifier": "1524",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Red Bay, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.