Individual provider Active NPI

Alexandra Norris

  • Athletic Trainer
  • West Liberty, WV
National Provider Identifier
1700266061
Registry record updated Jun 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
AT001609 Issued in WV
Practice address
208 University Dr
West Liberty, WV 26074-1082
Phone
(304) 336-5468
NPI assigned
Jun 2, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Athletic Trainer 2255A2300X AT001609 WV Primary

Addresses

Primary practice location

208 University Dr
West Liberty, WV 26074-1082

Mailing address

29 Locust Ave Apt 4
Wheeling, WV 26003-5813
Phone (216) 952-9869

Other practice location 1

3259 Elsmere Rd
Shaker Hts, OH 44120-3439
Phone (216) 272-4462

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
AT001609WVMDAthletic Trainer

Interoperability endpoints

  • Direct secure messaging: anorris@orthopedicone.medentdirect.com

NPI Registry JSON

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

{
    "created_epoch": "1433203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593388800000",
    "number": "1700266061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 LOCUST AVE APT 4",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260035813",
            "telephone_number": "216-952-9869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 UNIVERSITY DR",
            "city": "WEST LIBERTY",
            "state": "WV",
            "postal_code": "260741082",
            "telephone_number": "304-336-5468"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3259 Elsmere Rd",
            "address_purpose": "LOCATION",
            "city": "Shaker Hts",
            "state": "OH",
            "postal_code": "441203439",
            "country_code": "US",
            "telephone_number": "216-272-4462",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NORRIS",
        "first_name": "ALEXANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-02",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "WV",
            "license": "AT001609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Liberty, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2020; 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.