Active NPI
Anthony Farmer Sutton, ATC
- Athletic Trainer
- Raleigh, NC
National Provider Identifier
1497743892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- LAT-4057
- Practice address
- 2500 Warren Carroll Drive
Weisiger-Brown Athletic Facility
Raleigh, NC 27695-2769 - Phone
- (919) 515-2111
- Fax
- (919) 513-0728
- NPI assigned
- Oct 10, 2005
- Sex
- Male
- 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 | LAT-4057 | NC | Primary |
Addresses
Primary practice location
2500 Warren Carroll Drive
Weisiger-Brown Athletic Facility
Raleigh, NC 27695-2769
Mailing address
C113 Joyce Center
Sports Medicine
Notre Dame, IN 46556
Phone (574) 631-3303
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 |
|---|---|---|---|
| LAT-4057 | NC | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665187200000",
"number": "1497743892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "C113 JOYCE CENTER",
"address_2": "SPORTS MEDICINE",
"city": "NOTRE DAME",
"state": "IN",
"postal_code": "46556",
"telephone_number": "574-631-3303",
"fax_number": "574-631-3305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 WARREN CARROLL DRIVE",
"address_2": "WEISIGER-BROWN ATHLETIC FACILITY",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276952769",
"telephone_number": "919-515-2111",
"fax_number": "919-513-0728"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUTTON",
"first_name": "ANTHONY",
"middle_name": "FARMER",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-10",
"last_updated": "2022-10-08",
"certification_date": "2022-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NC",
"license": "LAT-4057",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.