Courtney Rose Zamora, ATC,LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2607 Issued in MN

Practice address

203 Buffalo Run Rd
Buffalo, MN 55313-2437

Phone

(763) 257-2928

NPI assigned

Nov 17, 2023

Last updated

Nov 17, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Courtney Rose Kelly Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1700179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700179200000",
    "number": "1427823665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 BUFFALO RUN RD",
            "city": "BUFFALO",
            "state": "MN",
            "postal_code": "553132437",
            "telephone_number": "763-257-2928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 BUFFALO RUN RD",
            "city": "BUFFALO",
            "state": "MN",
            "postal_code": "553132437",
            "telephone_number": "763-257-2928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAMORA",
        "first_name": "COURTNEY",
        "middle_name": "ROSE",
        "name_prefix": "Mrs.",
        "credential": "ATC,LAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-17",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MN",
            "license": "2607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "KELLY",
            "middle_name": "ROSE",
            "credential": "ATC,LAT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cheryl L Wuollet
• Charles Michael Yancey, MD, PHD
• Brian L Yost, PAC
• Your Life Chiropractic, P.a.
• Denise Yuker
• Jaime Lynn Zander
• Ross Zappa
• Amanda Rose Zehrer, M.D.
• Jennie Zeiss, P.A.-C.
• Scott A. Zenner, D.C.

• Athletic Trainer in Buffalo, MN
• Providers in Buffalo, MN by specialty
• Athletic Trainer in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2023; 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.