NPIMap

Organization Active NPI

St. Vincent Health

  • Athletic Trainer
  • Carmel, IN
National Provider Identifier
1699045153
Registry record updated Jan 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
36001755A Issued in IN
Legal business name
ST. VINCENT HEALTH
Practice address
3525 W 126TH St
Carmel, IN 46032-9557
Phone
(317) 733-6420
NPI assigned
Dec 30, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2013

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

Authorized official

Name
Brittani Moore, ATCNPI 1841894995
Title
Certified Athletic Trainer
Phone
(317) 281-5539

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic TrainerGroup: 193400000X SINGLE SPECIALTY GROUP 2255A2300X 36001755A IN Primary

Addresses

Primary practice location

3525 W 126TH St
Carmel, IN 46032-9557

Mailing address

5228 Thrasher Dr
Indianapolis, IN 46254-3563
Phone (317) 281-5539

National Provider Directory

National Provider Directory

Locations

3525 W 126th St
Carmel, IN 46032
Phone (317) 377-6420

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1325203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358208000000",
    "number": "1699045153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5228 THRASHER DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462543563",
            "telephone_number": "317-281-5539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 W 126TH ST",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460329557",
            "telephone_number": "317-733-6420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. VINCENT HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-30",
        "last_updated": "2013-01-15",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "BRITTANI",
        "authorized_official_title_or_position": "CERTIFIED ATHLETIC TRAINER",
        "authorized_official_telephone_number": "317-281-5539",
        "authorized_official_credential": "ATC"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IN",
            "license": "36001755A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.