Individual provider Active NPI

Stephanie James, MA, ATC

  • Athletic Trainer
  • Highland Heights, KY
National Provider Identifier
1699188441
Registry record updated Jun 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
AT909 Issued in KY
Practice address
HC 218
Northern Kentucky University Nunn Drive
Highland Heights, KY 41076
Phone
(859) 572-1489
Fax
(859) 572-7956
NPI assigned
Jun 10, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2014

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 AT909 KY Primary

Addresses

Primary practice location

HC 218
Northern Kentucky University Nunn Drive
Highland Heights, KY 41076

Mailing address

111 Spindle Top LN
Fort Thomas, KY 41075-4017
Phone (859) 394-3678

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 Arts

State licenses

LicenseStateTypeSpecialty
AT909KYMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1402358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402358400000",
    "number": "1699188441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 SPINDLE TOP LN",
            "city": "FORT THOMAS",
            "state": "KY",
            "postal_code": "410754017",
            "telephone_number": "859-394-3678",
            "fax_number": "859-572-7956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HC 218",
            "address_2": "NORTHERN KENTUCKY UNIVERSITY NUNN DRIVE",
            "city": "HIGHLAND HEIGHTS",
            "state": "KY",
            "postal_code": "41076",
            "telephone_number": "859-572-1489",
            "fax_number": "859-572-7956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMES",
        "first_name": "STEPHANIE",
        "name_prefix": "Mrs.",
        "credential": "MA, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-10",
        "last_updated": "2014-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "KY",
            "license": "AT909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Heights, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.

Verify at the official NPI Registry.