Andrea Patterson

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

9802 Cemetery Rd
642 University Drive
Bloomington, WI 53804-9778

Phone

(608) 412-3832

NPI assigned

Feb 15, 2015

Last updated

Mar 17, 2018By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1423958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1437540226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9802 CEMETERY RD",
            "city": "BLOOMINGTON",
            "state": "WI",
            "postal_code": "538049778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9802 CEMETERY RD",
            "address_2": "642 UNIVERSITY DRIVE",
            "city": "BLOOMINGTON",
            "state": "WI",
            "postal_code": "538049778",
            "telephone_number": "608-412-3832"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9802 Cemetery Rd",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "WI",
            "postal_code": "538049778",
            "country_code": "US",
            "telephone_number": "608-994-2396",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "509 University Drive",
            "address_purpose": "LOCATION",
            "city": "Eau Claire",
            "state": "WI",
            "postal_code": "54701",
            "country_code": "US",
            "telephone_number": "715-836-5452",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "ANDREA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-15",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Athletic Trainer in Bloomington, WI
• Providers in Bloomington, WI by specialty
• Athletic Trainer in Wisconsin

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