Amy C Marion, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2108 Issued in NC

Practice address

15033 Ballancroft Pkwy Ste 200
Charlotte, NC 28277-4959

Phone

(704) 316-2920

Fax

(704) 316-2921

NPI assigned

Mar 31, 2014

Last updated

Dec 18, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1396224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608249600000",
    "number": "1508284225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7303 STRATH LN",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275186973",
            "telephone_number": "843-729-8266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15033 BALLANCROFT PKWY STE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282774959",
            "telephone_number": "704-316-2920",
            "fax_number": "704-316-2921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARION",
        "first_name": "AMY",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-31",
        "last_updated": "2020-12-18",
        "certification_date": "2020-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NC",
            "license": "LAT-2108",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NC",
            "license": "2108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Marina III, D.C.
• Donna Jean Marinelli, NP
• Valerie Marinelli, RD, LDN
• Allegra Marino, PA
• Nicole Marino, LCSW
• Ellen Marion
• Sarah Giroux Marion
• Mark a. Tripp DDS., PA
• Mark Miceli
• Thomas Michael Markeson, DDS

• Athletic Trainer in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Athletic Trainer in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.

Verify at the official NPI Registry.