Hannah Nicole Perry, ATC – Athletic Trainer

Key facts

NPI: 1477027969
Entity type: Individual (NPI type 1)
Primary specialty: Athletic Trainer 2255A2300X
License: 919-21 (ND)
Practice address: 16021 18TH St SE
Hunter, ND 58048-9730
Phone: (715) 307-7298
NPI assigned: Jan 17, 2019
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
919-21	ND	MD	Athletic Trainer

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Athletic Trainer	2255A2300X
Student in an Organized Health Care Education/Training Program	390200000X
Athletic Trainer	2255A2300X	919-21	ND	Yes

Addresses

Primary practice location

16021 18TH St SE
Hunter, ND 58048-9730

Mailing address

16021 18TH St SE
Hunter, ND 58048-9730
Phone (701) 404-7234

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 3, 2023.

{
    "created_epoch": "1547683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1477027969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16021 18TH ST SE",
            "city": "HUNTER",
            "state": "ND",
            "postal_code": "580489730",
            "telephone_number": "701-404-7234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16021 18TH ST SE",
            "city": "HUNTER",
            "state": "ND",
            "postal_code": "580489730",
            "telephone_number": "715-307-7298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "HANNAH",
        "middle_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-17",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "ND",
            "license": "919-21",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hunter, ND

All providers in Hunter, ND · Athletic Trainer in North Dakota

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 3, 2023. 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.

Verify at the official NPI Registry.