Christopher Ryan Ebberts, ATC, PES

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2004023137 Issued in MO

Practice address

700 Argosy Pkwy
Riverside, MO 64150-1512

Phone

(816) 505-4408

Fax

(816) 241-0551

NPI assigned

Sep 20, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1548367998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10219 N LAWN AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641563005",
            "telephone_number": "816-668-2151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 ARGOSY PKWY",
            "city": "RIVERSIDE",
            "state": "MO",
            "postal_code": "641501512",
            "telephone_number": "816-505-4408",
            "fax_number": "816-241-0551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBBERTS",
        "first_name": "CHRISTOPHER",
        "middle_name": "RYAN",
        "credential": "ATC, PES",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MO",
            "license": "2004023137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chitra Chinnaswamy, MD
• Neil R Corriston
• Kimberly Cowgill, RN
• Ashley Kate Cummins, PHARMD
• Natalie Duncan, PA-C
• Ericka Jo Eiserer, NP
• Trisha Evans, LAT, ATC
• Ian Flores, RPH
• Mackenzie Marie Freeman, PT, DPT
• Steven Jeremiah Frost, DDS

• Athletic Trainer in Riverside, MO
• Providers in Riverside, MO by specialty
• Athletic Trainer in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.