Karla Beasley, ATC
Individual provider Active NPI Athletic Trainer · Mobile, AL
NPI 1477005288 · NPPES record last updated Oct 27, 2016
Key facts
- NPI
- 1477005288
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- 1188 (AL)
- Practice address
- 6001 USA Dr S
Suite 35
Mobile, AL 36688-0001 - Phone
- (251) 460-7823
- NPI assigned
- Oct 27, 2016
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1188 | AL | MD | Registered Dietitian |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 1188 | AL | Yes |
Addresses
Primary practice location
6001 USA Dr S
Suite 35
Mobile, AL 36688-0001
Mailing address
6001 USA Dr S
Suite 35
Mobile, AL 36688-0001
Phone (251) 460-7823
Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 27, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.