Individual provider Active NPI

Andrea Marie Pigeon, MS, ATC, CSCS, EMT-B

  • Athletic Trainer
  • Ogden, UT
National Provider Identifier
1720530348
Registry record updated Oct 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
8344028-4810 Issued in UT
Practice address
3870 Stadium Way
Dept. 2701
Ogden, UT 84408-5149
Phone
(801) 626-7128
NPI assigned
Oct 31, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Basic Emergency Medical Technician 146N00000X 2013086013 UT
Athletic Trainer 2255A2300X 8344028-4810 UT Primary

Addresses

Primary practice location

3870 Stadium Way
Dept. 2701
Ogden, UT 84408-5149

Mailing address

3870 Stadium Way
Dept. 2701
Ogden, UT 84408-5149
Phone (801) 626-7128

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2013086013UTMDBasic Emergency Medical Technician
8344028-4810UTMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1477872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477872000000",
    "number": "1720530348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3870 STADIUM WAY",
            "address_2": "DEPT. 2701",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844085149",
            "telephone_number": "801-626-7128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3870 STADIUM WAY",
            "address_2": "DEPT. 2701",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844085149",
            "telephone_number": "801-626-7128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIGEON",
        "first_name": "ANDREA",
        "middle_name": "MARIE",
        "credential": "MS, ATC, CSCS, EMT-B",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-31",
        "last_updated": "2016-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "UT",
            "license": "2013086013",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "UT",
            "license": "8344028-4810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogden, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2016; 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.