Individual provider Active NPI

Cara Donahoe, ATC

  • Athletic Trainer
  • West Burlington, IA
National Provider Identifier
1679907240
Registry record updated Aug 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
001055 Issued in IA
Practice address
411 W Agency Rd
Suite 1
West Burlington, IA 52655-1704
Phone
(319) 752-7727
Fax
(319) 752-7774
NPI assigned
Aug 30, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2013

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 001055 IA Primary

Addresses

Primary practice location

411 W Agency Rd
Suite 1
West Burlington, IA 52655-1704

Mailing address

411 W Agency Rd
Suite 1
West Burlington, IA 52655-1704
Phone (319) 752-7727

Other names 1

  • Cara Champion Former name

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

LicenseStateTypeSpecialty
001055IAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Universal Therapy Group Past Accepting new patients
Universal Therapy Group LLC PastSince Aug 28, 2014 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1377820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377820800000",
    "number": "1679907240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 W AGENCY RD",
            "address_2": "SUITE 1",
            "city": "WEST BURLINGTON",
            "state": "IA",
            "postal_code": "526551704",
            "telephone_number": "319-752-7727",
            "fax_number": "319-752-7774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 W AGENCY RD",
            "address_2": "SUITE 1",
            "city": "WEST BURLINGTON",
            "state": "IA",
            "postal_code": "526551704",
            "telephone_number": "319-752-7727",
            "fax_number": "319-752-7774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONAHOE",
        "first_name": "CARA",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-30",
        "last_updated": "2013-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IA",
            "license": "001055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARA",
            "last_name": "CHAMPION",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Burlington, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2013; 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.