Active NPI
Samantha Duncan, ATC
- Athletic Trainer
- Independence, KY
National Provider Identifier
1396239356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 2000033068
- Practice address
- 12067 Bowman Rd
Independence, KY 41051-9735 - Phone
- (859) 547-2645
- NPI assigned
- Jun 21, 2018
- 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 | 2000033068 | Primary |
Addresses
Primary practice location
12067 Bowman Rd
Independence, KY 41051-9735
Mailing address
12067 Bowman Rd
Independence, KY 41051-9735
Phone (859) 547-2645
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": "1529539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529539200000",
"number": "1396239356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12067 BOWMAN RD",
"city": "INDEPENDENCE",
"state": "KY",
"postal_code": "410519735",
"telephone_number": "859-547-2645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12067 BOWMAN RD",
"city": "INDEPENDENCE",
"state": "KY",
"postal_code": "410519735",
"telephone_number": "859-547-2645"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNCAN",
"first_name": "SAMANTHA",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-06-21",
"last_updated": "2018-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": "2000033068",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Independence, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.