Active NPI
Victoria Barr, ATC
- Athletic Trainer
- Everett, WA
National Provider Identifier
1659784452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- A160406211
- Practice address
- 12911 39TH Ave SE
Everett, WA 98208-6159 - Phone
- (816) 267-1171
- NPI assigned
- Jun 9, 2014
- 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 | A160406211 | WA | Primary |
Addresses
Primary practice location
12911 39TH Ave SE
Everett, WA 98208-6159
Mailing address
4220 132ND St SE
Suite 202
Mill Creek, WA 98012-8999
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 |
|---|---|---|---|
| A160406211 | WA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402272000000",
"number": "1659784452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4220 132ND ST SE",
"address_2": "SUITE 202",
"city": "MILL CREEK",
"state": "WA",
"postal_code": "980128999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12911 39TH AVE SE",
"city": "EVERETT",
"state": "WA",
"postal_code": "982086159",
"telephone_number": "816-267-1171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARR",
"first_name": "VICTORIA",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-06-09",
"last_updated": "2014-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "WA",
"license": "A160406211",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.