Active NPI
Emily Rose Adler, ATC
- Athletic Trainer
- Fresno, CA
National Provider Identifier
1447738463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 2000033066
- Practice address
- 4258 W Figarden Dr Apt 212
Fresno, CA 93722-8634 - Phone
- (479) 301-5666
- NPI assigned
- Aug 1, 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 | 2000033066 | CA | Primary |
Addresses
Primary practice location
4258 W Figarden Dr Apt 212
Fresno, CA 93722-8634
Mailing address
4258 W Figarden Dr Apt 212
Fresno, CA 93722-8634
Phone (479) 301-5666
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 185504290111 | Other | CA | 22 (RESPIRATORY, REHABILITATIVE & RESTORATIVE SERVICE PROVIDERS |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2000033066 | CA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533081600000",
"number": "1447738463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4258 W FIGARDEN DR APT 212",
"city": "FRESNO",
"state": "CA",
"postal_code": "937228634",
"telephone_number": "479-301-5666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4258 W FIGARDEN DR APT 212",
"city": "FRESNO",
"state": "CA",
"postal_code": "937228634",
"telephone_number": "479-301-5666"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADLER",
"first_name": "EMILY",
"middle_name": "ROSE",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-01",
"last_updated": "2018-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "CA",
"license": "2000033066",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "22 (RESPIRATORY, REHABILITATIVE & RESTORATIVE SERVICE PROVIDERS",
"identifier": "185504290111",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.