Active NPI
Alyssa McPherson, LAT, ATC
- Athletic Trainer
- Bloomington, IN
National Provider Identifier
1376810887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 36001859A
- Practice address
- 101 N. Jordan Ave.
Musical Arts Center: Room 401
Bloomington, IN 47406 - Phone
- (317) 696-1204
- NPI assigned
- Nov 29, 2011
- Last updated
- Nov 29, 2011
- Sex
- Female
- Sole proprietor
- No
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 | 36001859A | IN | Primary |
Addresses
Primary practice location
101 N. Jordan Ave.
Musical Arts Center: Room 401
Bloomington, IN 47406
Mailing address
2611 N. Walnut St., Apt. 9
Bloomington, IN 47404
Phone (317) 696-1204
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 |
|---|---|---|---|
| 36001859A | IN | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322524800000",
"number": "1376810887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2611 N. WALNUT ST., APT. 9",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "47404",
"telephone_number": "317-696-1204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 N. JORDAN AVE.",
"address_2": "MUSICAL ARTS CENTER: ROOM 401",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "47406",
"telephone_number": "317-696-1204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCPHERSON",
"first_name": "ALYSSA",
"credential": "LAT, ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-29",
"last_updated": "2011-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "IN",
"license": "36001859A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bloomington, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.