Individual provider Active NPI

Anna Christine Adams, ATC, SCAT

  • Athletic Trainer
  • York, SC
National Provider Identifier
1417364993
Registry record updated May 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
1216 Issued in SC
Practice address
275 E Alexander Love Hwy
York, SC 29745
Phone
(803) 818-6274
NPI assigned
Jul 17, 2014
Last updated
May 30, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 1216 SC Primary

Addresses

Primary practice location

275 E Alexander Love Hwy
York, SC 29745

Mailing address

435 Haltiwanger Rd Apt 32
Greenwood, SC 29649-1766
Phone (803) 417-5826

Other practice location 1

150 Bypass 225
Greenwood, SC 29646-1154
Phone (864) 350-8251

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

LicenseStateTypeSpecialty
1216SCMDClinical Psychologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1405555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527638400000",
    "number": "1417364993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 HALTIWANGER RD APT 32",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296491766",
            "telephone_number": "803-417-5826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 E ALEXANDER LOVE HWY",
            "city": "YORK",
            "state": "SC",
            "postal_code": "29745",
            "telephone_number": "803-818-6274"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 Bypass 225",
            "address_purpose": "LOCATION",
            "city": "Greenwood",
            "state": "SC",
            "postal_code": "296461154",
            "country_code": "US",
            "telephone_number": "864-350-8251",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "ANNA",
        "middle_name": "CHRISTINE",
        "credential": "ATC, SCAT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-17",
        "last_updated": "2018-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "SC",
            "license": "1216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in York, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 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.

Verify at the official NPI Registry.