Brittany Wincia Backofen, MS, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

0506324 Issued in NV

Practice address

3850 Annie Oakley Dr
Las Vegas, NV 89121-4526

Phone

(702) 799-7580

NPI assigned

Nov 7, 2016

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1478476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596499200000",
    "number": "1639611742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3850 ANNIE OAKLEY DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891214526",
            "telephone_number": "702-799-7580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3850 ANNIE OAKLEY DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891214526",
            "telephone_number": "702-799-7580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACKOFEN",
        "first_name": "BRITTANY",
        "middle_name": "WINCIA",
        "credential": "MS, LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-07",
        "last_updated": "2020-08-04",
        "certification_date": "2020-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NV",
            "license": "0506324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Tara Backer
• Elaine Backman, BC-HIS
• Jeffrey Cameron Backofen, DO
• Kimberley Anne Backstrom
• Amber Backus
• Kimberly Bacolor, APRN
• Blake Bacon

• Athletic Trainer in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Athletic Trainer in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2020; 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.