Emily Christine Bannister, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

003484 Issued in NY

Practice address

5795 Lewiston Rd
Niagara University, NY 14109-9809

Phone

(716) 286-8612

Fax

(716) 286-8656

NPI assigned

Nov 12, 2019

Last updated

Nov 12, 2019By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1573516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573516800000",
    "number": "1508401738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5795 LEWISTON RD",
            "city": "NIAGARA UNIVERSITY",
            "state": "NY",
            "postal_code": "141099809",
            "telephone_number": "716-286-8612",
            "fax_number": "716-286-8656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5795 LEWISTON RD",
            "city": "NIAGARA UNIVERSITY",
            "state": "NY",
            "postal_code": "141099809",
            "telephone_number": "716-286-8612",
            "fax_number": "716-286-8656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANNISTER",
        "first_name": "EMILY",
        "middle_name": "CHRISTINE",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-12",
        "last_updated": "2019-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NY",
            "license": "003484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janice L Bradley, FNP
• Lauren Lysiak, FNP, RN
• Scott Patrick Mastrobattista, MSED, ATC
• Niagara University Health Services
• Timothy Michael Osberg, PH.D.

• Athletic Trainer in Niagara University, NY
• Providers in Niagara University, NY by specialty
• Athletic Trainer in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2019; 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.