Active NPI
Alyssa Miller, BSATCLAT
- Athletic Trainer
- Dickinson, ND
National Provider Identifier
1518225283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 432-11
- Practice address
- 1531 W Villard St
Dickinson, ND 58601-4651 - Phone
- (701) 225-7575
- Fax
- (701) 225-9697
- NPI assigned
- May 1, 2012
- Last updated
- May 1, 2012
- 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 | 432-11 | ND | Primary |
Addresses
Primary practice location
1531 W Villard St
Dickinson, ND 58601-4651
Mailing address
1531 W Villard St
Dickinson, ND 58601-4651
Phone (701) 225-7575
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 |
|---|---|---|---|
| 432-11 | ND | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford Bismarck | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335830400000",
"number": "1518225283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1531 W VILLARD ST",
"city": "DICKINSON",
"state": "ND",
"postal_code": "586014651",
"telephone_number": "701-225-7575",
"fax_number": "701-225-9697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1531 W VILLARD ST",
"city": "DICKINSON",
"state": "ND",
"postal_code": "586014651",
"telephone_number": "701-225-7575",
"fax_number": "701-225-9697"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "ALYSSA",
"credential": "BSATCLAT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-01",
"last_updated": "2012-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "ND",
"license": "432-11",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dickinson, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.