Active NPI
Brandi Mueller, ATC, LAT
- Athletic Trainer
- Hickory, NC
National Provider Identifier
1649448424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 1198
- Practice address
- 1781 Tate Blvd SE Ste 202
Hickory, NC 28602-4233 - Phone
- (828) 328-4398
- NPI assigned
- Feb 14, 2008
- Last updated
- Feb 14, 2008
- 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 | 1198 | NC | Primary |
Addresses
Primary practice location
1781 Tate Blvd SE Ste 202
Hickory, NC 28602-4233
Mailing address
1781 Tate Blvd SE Ste 202
Hickory, NC 28602-4233
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 |
|---|---|---|---|
| 1198 | NC | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202947200000",
"number": "1649448424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1781 TATE BLVD SE STE 202",
"city": "HICKORY",
"state": "NC",
"postal_code": "286024233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1781 TATE BLVD SE STE 202",
"city": "HICKORY",
"state": "NC",
"postal_code": "286024233",
"telephone_number": "828-328-4398"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUELLER",
"first_name": "BRANDI",
"credential": "ATC, LAT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-02-14",
"last_updated": "2008-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NC",
"license": "1198",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hickory, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.