Active NPI
Julliana Tapia
- Athletic Trainer
- Stratford, CT
National Provider Identifier
1477061158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 54.001442
- Practice address
- 245 King St
Stratford, CT 06615-5832 - Phone
- (203) 375-0891
- NPI assigned
- Jan 17, 2018
- 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 | 54.001442 | CT | Primary |
Addresses
Primary practice location
245 King St
Stratford, CT 06615-5832
Mailing address
72 Wells Ave
Shelton, CT 06484-4029
Other practice location 1
5151 Park Ave
Fairfield, CT 06825-1090
Phone (203) 371-7999
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 |
|---|---|---|---|
| 54.001442 | CT | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588118400000",
"number": "1477061158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "72 WELLS AVE",
"city": "SHELTON",
"state": "CT",
"postal_code": "064844029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "245 KING ST",
"city": "STRATFORD",
"state": "CT",
"postal_code": "066155832",
"telephone_number": "203-375-0891"
}
],
"practiceLocations": [
{
"address_1": "5151 Park Ave",
"address_purpose": "LOCATION",
"city": "Fairfield",
"state": "CT",
"postal_code": "068251090",
"country_code": "US",
"telephone_number": "203-371-7999",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TAPIA",
"first_name": "JULLIANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-17",
"last_updated": "2020-04-29",
"certification_date": "2020-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "CT",
"license": "54.001442",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stratford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.