Active NPI
Robert A Sumner Jr., ATC
- Athletic Trainer
- Fairhope, AL
National Provider Identifier
1568978872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 1847
- Practice address
- 1 Pirate Dr
Fairhope, AL 36532-7085 - Phone
- (850) 324-1263
- NPI assigned
- Dec 21, 2017
- Last updated
- Dec 21, 2017
- 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 | 1847 | AL | Primary |
Addresses
Primary practice location
1 Pirate Dr
Fairhope, AL 36532-7085
Mailing address
1 Pirate Dr
Fairhope, AL 36532-7085
Phone (850) 324-1263
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 |
|---|---|---|---|
| 1847 | AL | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1513814400000",
"number": "1568978872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 PIRATE DR",
"city": "FAIRHOPE",
"state": "AL",
"postal_code": "365327085",
"telephone_number": "850-324-1263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 PIRATE DR",
"city": "FAIRHOPE",
"state": "AL",
"postal_code": "365327085",
"telephone_number": "850-324-1263"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUMNER",
"first_name": "ROBERT",
"middle_name": "A",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-12-21",
"last_updated": "2017-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "AL",
"license": "1847",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairhope, AL
- Tamatha Sullivan Davidson, MCD CCCA
- Meredith Stewart Sullivan, MSOT, OTR/L
- William F Sullivan, MD
- Joan R Sulzmann, MSW
- Julia Redditt Summerlin, RN, MSN, CS, LMFT
- Sunbridge Home Health Care, Inc.
- Sundial Counseling Center, LLC
- Sunset Sleep and Wellness Center
- Surgical Associates of Eastern Shore PC
- Donna Handy Swearingen, C.R.N.P.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.