Active NPI
Michael Stevens, ATC
- Athletic Trainer
- Indianapolis, IN
National Provider Identifier
1467738534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 34001968A
- Practice address
- 8227 Northwest Blvd
Suite 160
Indianapolis, IN 46278-1387 - Phone
- (317) 415-5795
- NPI assigned
- Nov 2, 2011
- Sex
- Male
- 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 | 34001968A | IN | Primary |
Addresses
Primary practice location
8227 Northwest Blvd
Suite 160
Indianapolis, IN 46278-1387
Mailing address
10330 N Meridian St
Suite 201
Indianapolis, IN 46290-1024
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 |
|---|---|---|---|
| 34001968A | IN | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412208000000",
"number": "1467738534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10330 N MERIDIAN ST",
"address_2": "SUITE 201",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462901024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8227 NORTHWEST BLVD",
"address_2": "SUITE 160",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462781387",
"telephone_number": "317-415-5795"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVENS",
"first_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-11-02",
"last_updated": "2014-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "IN",
"license": "34001968A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.