Active NPI
Alexandra Fruetel
- Athletic Trainer
- New Orleans, LA
National Provider Identifier
1376917963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 300075
- Practice address
- 635 North Scott Street
Unit 15
New Orleans, LA 70119 - Phone
- (651) 233-7640
- NPI assigned
- Nov 19, 2015
- 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 | 300075 | LA | Primary |
Addresses
Primary practice location
635 North Scott Street
Unit 15
New Orleans, LA 70119
Mailing address
635 N Scott Street
Unit 15
New Orleans, LA 70119
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 |
|---|---|---|---|
| 300075 | LA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447891200000",
"number": "1376917963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "635 N SCOTT STREET",
"address_2": "UNIT 15",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "70119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "635 NORTH SCOTT STREET",
"address_2": "UNIT 15",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "70119",
"telephone_number": "651-233-7640"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRUETEL",
"first_name": "ALEXANDRA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-11-19",
"last_updated": "2015-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "LA",
"license": "300075",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Orleans, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.