Active NPI
Rebecca Aileen Gardenhire
- Athletic Trainer
- Grand Junction, CO
National Provider Identifier
1386377125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT.0001590
- Practice address
- 1100 North Ave
Grand Junction, CO 81501-3122 - Phone
- (970) 248-1203
- Fax
- (970) 248-1291
- NPI assigned
- Jul 8, 2022
- Last updated
- Jul 8, 2022
- 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 | AT.0001590 | CO | Primary |
Addresses
Primary practice location
1100 North Ave
Grand Junction, CO 81501-3122
Mailing address
1100 North Ave
Grand Junction, CO 81501-3122
Phone (970) 248-1203
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2000013844 | Other | NATIONAL ATHLETIC TRAINERS' ASSOCIATION BOARD OF CERTIFICATION |
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 |
|---|---|---|---|
| AT.0001590 | CO | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657238400000",
"number": "1386377125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 NORTH AVE",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815013122",
"telephone_number": "970-248-1203",
"fax_number": "970-248-1291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 NORTH AVE",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815013122",
"telephone_number": "970-248-1203",
"fax_number": "970-248-1291"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARDENHIRE",
"first_name": "REBECCA",
"middle_name": "AILEEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-08",
"last_updated": "2022-07-08",
"certification_date": "2022-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "CO",
"license": "AT.0001590",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONAL ATHLETIC TRAINERS' ASSOCIATION BOARD OF CERTIFICATION",
"identifier": "2000013844",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Grand Junction, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.