Active NPI
Susan Welch Stevens, EDD, ATC, LAT
- Athletic Trainer
- Greensboro, NC
National Provider Identifier
1467673038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 0407
- Practice address
- University of North Carolina at Greensboro
Department of Exercise and Sports Science, 237a HHP
Greensboro, NC 27412 - Phone
- (336) 334-3563
- NPI assigned
- May 1, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 0407 | NC | Primary |
Addresses
Primary practice location
University of North Carolina at Greensboro
Department of Exercise and Sports Science, 237a HHP
Greensboro, NC 27412
Mailing address
1706 Pinecrest Street
Burlington, NC 27215
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 |
|---|---|---|---|
| 0407 | NC | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1467673038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1706 PINECREST STREET",
"city": "BURLINGTON",
"state": "NC",
"postal_code": "27215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "UNIVERSITY OF NORTH CAROLINA AT GREENSBORO",
"address_2": "DEPARTMENT OF EXERCISE AND SPORTS SCIENCE, 237A HHP",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "27412",
"telephone_number": "336-334-3563"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVENS",
"first_name": "SUSAN",
"middle_name": "WELCH",
"credential": "EDD, ATC, LAT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NC",
"license": "0407",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.