Active NPI
Denise Alder, ATC
- Athletic Trainer
- Afton, TN
National Provider Identifier
1639620537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 1916
- Practice address
- 365 Ripley Island Rd
Afton, TN 37616-5860 - Phone
- (630) 815-9646
- NPI assigned
- Oct 17, 2016
- 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 | 1916 | TN | Primary |
Addresses
Primary practice location
365 Ripley Island Rd
Afton, TN 37616-5860
Mailing address
1185 W Mountain View Rd
Apt 3319
Johnson City, TN 37604-2523
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476662400000",
"number": "1639620537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1185 W MOUNTAIN VIEW RD",
"address_2": "APT 3319",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376042523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "365 RIPLEY ISLAND RD",
"city": "AFTON",
"state": "TN",
"postal_code": "376165860",
"telephone_number": "630-815-9646"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALDER",
"first_name": "DENISE",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-17",
"last_updated": "2016-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "TN",
"license": "1916",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Afton, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.