Active NPI
Rebecca Stanish, ATC
- Athletic Trainer
- Cincinnati, OH
National Provider Identifier
1700149689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT002866
- Practice address
- 10663 Montgomery Rd
Cincinnati, OH 45242-4403 - Phone
- (513) 347-9999
- Fax
- (513) 792-3239
- NPI assigned
- Jun 16, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AT002866 | OH | Primary |
| Athletic Trainer | 2255A2300X | AT880 | KY |
Addresses
Primary practice location
10663 Montgomery Rd
Cincinnati, OH 45242-4403
Mailing address
10663 Montgomery Rd
Cincinnati, OH 45242-4403
Phone (513) 347-9999
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 |
|---|---|---|---|
| AT880 | KY | MD | Athletic Trainer |
| AT002866 | OH | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339804800000",
"number": "1700149689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10663 MONTGOMERY RD",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452424403",
"telephone_number": "513-347-9999",
"fax_number": "513-792-3239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10663 MONTGOMERY RD",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452424403",
"telephone_number": "513-347-9999",
"fax_number": "513-792-3239"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANISH",
"first_name": "REBECCA",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-16",
"last_updated": "2012-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "OH",
"license": "AT002866",
"primary": true
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "KY",
"license": "AT880",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.