Active NPI
Adrienne Gahm, LAT
- Athletic Trainer
- Jamestown, ND
National Provider Identifier
1720496243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 528-14
- Practice address
- 2422 20TH St SW
Jamestown, ND 58401-6201 - Phone
- (701) 368-1806
- NPI assigned
- Jul 28, 2014
- 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 | 528-14 | ND | Primary |
Addresses
Primary practice location
2422 20TH St SW
Jamestown, ND 58401-6201
Mailing address
905 19TH St SW
Apt 6
Jamestown, ND 58401-6151
Phone (320) 287-0554
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 |
|---|---|---|---|
| 528-14 | ND | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406505600000",
"number": "1720496243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "905 19TH ST SW",
"address_2": "APT 6",
"city": "JAMESTOWN",
"state": "ND",
"postal_code": "584016151",
"telephone_number": "320-287-0554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2422 20TH ST SW",
"city": "JAMESTOWN",
"state": "ND",
"postal_code": "584016201",
"telephone_number": "701-368-1806"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAHM",
"first_name": "ADRIENNE",
"credential": "LAT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-28",
"last_updated": "2014-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "ND",
"license": "528-14",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jamestown, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.