Active NPI
Anna Eileen Ciarlino, ATC
- Athletic Trainer
- Grand Haven, MI
National Provider Identifier
1700327822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- LAT-3883
- Practice address
- 15100 Whittaker Way
Grand Haven, MI 49417-8696 - Phone
- (616) 935-6260
- NPI assigned
- Mar 9, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | LAT-3883 | NC | Primary |
Addresses
Primary practice location
15100 Whittaker Way
Grand Haven, MI 49417-8696
Mailing address
15009 Madeleine CT Apt 304
Grand Haven, MI 49417-8000
Phone (313) 580-7666
Other practice location 1
26401 Kinyon St
Taylor, MI 48180-3090
Phone (313) 580-7666
Other practice location 2
425 Jack Branch Dr
Boone, NC 28608
Phone (828) 262-6265
Other practice location 3
73 Eakes Dr
Buies Creek, NC 27506
Phone (910) 814-4371
Other practice location 4
181 W Meadow Dr Ste 400
Vail, CO 81657-5058
Phone (970) 476-1100
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 |
|---|---|---|---|
| LAT-3883 | NC | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673827200000",
"number": "1700327822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15009 MADELEINE CT APT 304",
"city": "GRAND HAVEN",
"state": "MI",
"postal_code": "494178000",
"telephone_number": "313-580-7666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15100 WHITTAKER WAY",
"city": "GRAND HAVEN",
"state": "MI",
"postal_code": "494178696",
"telephone_number": "616-935-6260"
}
],
"practiceLocations": [
{
"address_1": "26401 Kinyon St",
"address_purpose": "LOCATION",
"city": "Taylor",
"state": "MI",
"postal_code": "481803090",
"country_code": "US",
"telephone_number": "313-580-7666",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "425 Jack Branch Dr",
"address_purpose": "LOCATION",
"city": "Boone",
"state": "NC",
"postal_code": "28608",
"country_code": "US",
"telephone_number": "828-262-6265",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "73 Eakes Dr",
"address_purpose": "LOCATION",
"city": "Buies Creek",
"state": "NC",
"postal_code": "27506",
"country_code": "US",
"telephone_number": "910-814-4371",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "181 W Meadow Dr Ste 400",
"address_purpose": "LOCATION",
"city": "Vail",
"state": "CO",
"postal_code": "816575058",
"country_code": "US",
"telephone_number": "970-476-1100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CIARLINO",
"first_name": "ANNA",
"middle_name": "EILEEN",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-09",
"last_updated": "2023-01-16",
"certification_date": "2023-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NC",
"license": "LAT-3883",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Haven, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.