Carrie Ann Bezzant, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

6922421-4810 Issued in UT

Practice address

370 E Woodlake Dr
Apt 125
Salt Lake City, UT 84107-1862

Phone

(801) 699-9926

NPI assigned

Nov 12, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Carrie Ann Hanson 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": "1447286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447286400000",
    "number": "1457724452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 E WOODLAKE DR",
            "address_2": "APT 125",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841071862",
            "telephone_number": "801-699-9926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 E WOODLAKE DR",
            "address_2": "APT 125",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841071862",
            "telephone_number": "801-699-9926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEZZANT",
        "first_name": "CARRIE",
        "middle_name": "ANN",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-12",
        "last_updated": "2015-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "UT",
            "license": "6922421-4810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOC",
            "identifier": "020802023",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARRIE",
            "last_name": "HANSON",
            "middle_name": "ANN",
            "credential": "ATC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rachel Beyer, RNFA
• Larissa Beyerlein, M.D.
• Bowen Beykirch
• Hollie Beynon, CSW
• Beyond Care Services Ut LLC
• John Lloyd Bezzant, M.D.
• Neel D. Bhagat, MD
• Kishan Bhakta
• Roma Bhatia, M.D
• Margi A Bhatt, MD

• Athletic Trainer in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Athletic Trainer in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2015; 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.