Active NPI
Patricia Ann Nativio, LAT
- Athletic Trainer
- Princess Anne, MD
National Provider Identifier
1487263760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- A0000002
- Practice address
- University of Maryland University Eastern Shore
William P Hytche Athletic Center
Princess Anne, MD 21801 - Phone
- (410) 651-6510
- Fax
- (410) 621-3444
- NPI assigned
- Jul 23, 2020
- Sex
- Female
- 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 | A0000002 | MD | Primary |
Addresses
Primary practice location
University of Maryland University Eastern Shore
William P Hytche Athletic Center
Princess Anne, MD 21801
Mailing address
526 Alabama Ave Apt C
Salisbury, MD 21801-5787
Phone (443) 754-5474
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 |
|---|---|---|---|
| A0000002 | MD | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595462400000",
"number": "1487263760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "526 ALABAMA AVE APT C",
"city": "SALISBURY",
"state": "MD",
"postal_code": "218015787",
"telephone_number": "443-754-5474",
"fax_number": "410-621-3444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "UNIVERSITY OF MARYLAND UNIVERSITY EASTERN SHORE",
"address_2": "WILLIAM P HYTCHE ATHLETIC CENTER",
"city": "PRINCESS ANNE",
"state": "MD",
"postal_code": "21801",
"telephone_number": "410-651-6510",
"fax_number": "410-621-3444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NATIVIO",
"first_name": "PATRICIA",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "LAT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-07-23",
"last_updated": "2020-07-23",
"certification_date": "2020-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MD",
"license": "A0000002",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Princess Anne, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.