Active NPI
Audra Neumann, ATC
- Athletic Trainer
- Erie, PA
National Provider Identifier
1598966160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- RT000865A
- Practice address
- 2501 W 12TH St
Erie, PA 16505-4527 - Phone
- (814) 835-2035
- Fax
- (814) 835-2806
- NPI assigned
- May 30, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | RT000865A | PA | Primary |
Addresses
Primary practice location
2501 W 12TH St
Erie, PA 16505-4527
Mailing address
5225 Richmond St
Erie, PA 16509-1831
Phone (814) 864-9566
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 |
|---|---|---|---|
| RT000865A | PA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1598966160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5225 RICHMOND ST",
"city": "ERIE",
"state": "PA",
"postal_code": "165091831",
"telephone_number": "814-864-9566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2501 W 12TH ST",
"city": "ERIE",
"state": "PA",
"postal_code": "165054527",
"telephone_number": "814-835-2035",
"fax_number": "814-835-2806"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEUMANN",
"first_name": "AUDRA",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "PA",
"license": "RT000865A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Erie, PA
Sources for this page
- 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.