Individual provider Active NPI

Haley Elizabeth Berry, MS, LAT, ATC

  • Athletic Trainer
  • Vail, CO
National Provider Identifier
1669096285
Registry record updated Jul 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
Practice address
181 W Meadow Dr Ste 400
Vail, CO 81657-5058
Phone
(970) 476-1100
Fax
(970) 479-5835
NPI assigned
May 29, 2020
Last updated
Jul 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X NU Primary

Addresses

Primary practice location

181 W Meadow Dr Ste 400
Vail, CO 81657-5058

Mailing address

225 Timberlane Dr
Belmont, NC 28012-7726
Phone (704) 999-6232

Other practice location 1

225 Timberlane Dr
Belmont, NC 28012-7726
Phone (704) 999-6232

Other practice location 2

609 Medical Center Drive
#200
Decatur, TX 76234
Phone (940) 627-2780

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
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1590710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688515200000",
    "number": "1669096285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 TIMBERLANE DR",
            "city": "BELMONT",
            "state": "NC",
            "postal_code": "280127726",
            "telephone_number": "704-999-6232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 W MEADOW DR STE 400",
            "city": "VAIL",
            "state": "CO",
            "postal_code": "816575058",
            "telephone_number": "970-476-1100",
            "fax_number": "970-479-5835"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225 Timberlane Dr",
            "address_purpose": "LOCATION",
            "city": "Belmont",
            "state": "NC",
            "postal_code": "280127726",
            "country_code": "US",
            "telephone_number": "704-999-6232",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "609 Medical Center Drive",
            "address_2": "#200",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "TX",
            "postal_code": "76234",
            "country_code": "US",
            "telephone_number": "940-627-2780",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERRY",
        "first_name": "HALEY",
        "middle_name": "ELIZABETH",
        "credential": "MS, LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-29",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vail, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2023; 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.