Individual provider Active NPI

Katherine Cobarrubias, ATC

  • Athletic Trainer
  • Fort Bragg, NC
National Provider Identifier
1427797133
Registry record updated Jun 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
Practice address
HHC 1St Brigade
5812 Ardennes St
Fort Bragg, NC 28307
Phone
(910) 432-5902
NPI assigned
Jun 1, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2022

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 Primary

Addresses

Primary practice location

HHC 1St Brigade
5812 Ardennes St
Fort Bragg, NC 28307

Mailing address

5731 Fountain Grove Cir Apt 278
Fayetteville, NC 28304-2671
Phone (909) 319-8365

Other identifiers 1

IdentifierTypeStateIssuer
2000050697OtherBOARD OF CERTIFICATION FOR ATHLETIC TRAINING

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Genesis Health Information Exchange (HIE)

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": "1654041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654041600000",
    "number": "1427797133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5731 FOUNTAIN GROVE CIR APT 278",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283042671",
            "telephone_number": "909-319-8365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HHC 1ST BRIGADE",
            "address_2": "5812 ARDENNES ST",
            "city": "FORT BRAGG",
            "state": "NC",
            "postal_code": "28307",
            "telephone_number": "910-432-5902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COBARRUBIAS",
        "first_name": "KATHERINE",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-01",
        "last_updated": "2022-06-01",
        "certification_date": "2022-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF CERTIFICATION FOR ATHLETIC TRAINING",
            "identifier": "2000050697",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Genesis",
            "affiliation": "N",
            "endpointDescription": "Electronic Health Record System",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "HHC 1st Brigade",
            "address_2": "5812 Ardennes St",
            "city": "Fort Bragg",
            "state": "NC",
            "country_code": "US",
            "postal_code": "28307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Bragg, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.

Verify at the official NPI Registry.