Active NPI
Britney D Bates, LAT/ATC
- Athletic Trainer
- Port Saint Lucie, FL
National Provider Identifier
1720504533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 1050
- Practice address
- 336 SE Tranquilla Ave
Port Saint Lucie, FL 34983-2230 - Phone
- (205) 612-7784
- NPI assigned
- Aug 15, 2017
- Last updated
- Jul 21, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 | 1050 | AL | Primary |
Addresses
Primary practice location
336 SE Tranquilla Ave
Port Saint Lucie, FL 34983-2230
Mailing address
336 SE Tranquilla Ave
Port Saint Lucie, FL 34983-2230
Phone (205) 612-7784
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NONE | Other | N/A |
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 |
|---|---|---|---|
| 1050 | AL | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1720504533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "336 SE TRANQUILLA AVE",
"city": "PORT SAINT LUCIE",
"state": "FL",
"postal_code": "349832230",
"telephone_number": "205-612-7784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "336 SE TRANQUILLA AVE",
"city": "PORT SAINT LUCIE",
"state": "FL",
"postal_code": "349832230",
"telephone_number": "205-612-7784"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BATES",
"first_name": "BRITNEY",
"middle_name": "D",
"credential": "LAT/ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-08-15",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "AL",
"license": "1050",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "N/A",
"identifier": "NONE",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Port Saint Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.