Active NPI
Tracey Elizabeth Viehland, ATC
- Athletic Trainer
- St. Louis, MO
National Provider Identifier
1710088976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 2001033170
- Practice address
- 107 Concord Plaza
St. Louis, MO 63128 - Phone
- (314) 842-2990
- Fax
- (314) 842-5163
- NPI assigned
- Sep 26, 2006
- 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 | 2001033170 | MO | Primary |
Addresses
Primary practice location
107 Concord Plaza
St. Louis, MO 63128
Mailing address
4363 Tavistock Cir
St. Louis, MO 63129
Phone (314) 412-1408
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 |
|---|---|---|---|
| 2001033170 | MO | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1710088976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4363 TAVISTOCK CIR",
"city": "ST. LOUIS",
"state": "MO",
"postal_code": "63129",
"telephone_number": "314-412-1408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 CONCORD PLAZA",
"city": "ST. LOUIS",
"state": "MO",
"postal_code": "63128",
"telephone_number": "314-842-2990",
"fax_number": "314-842-5163"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIEHLAND",
"first_name": "TRACEY",
"middle_name": "ELIZABETH",
"name_prefix": "Ms.",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MO",
"license": "2001033170",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St. Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.