Active NPI
Janet Marie Clifton, LAT ATC CSCS
- Athletic Trainer
- Indianapolis, IN
National Provider Identifier
1740345024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 36001139A
- Practice address
- 8227 Northwest Blvd
Suite 160 St Vincent Sports Medicine Center
Indianapolis, IN 46278 - Phone
- (317) 415-5747
- Fax
- (317) 322-4287
- NPI assigned
- Dec 27, 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 | 36001139A | IN | Primary |
Addresses
Primary practice location
8227 Northwest Blvd
Suite 160 St Vincent Sports Medicine Center
Indianapolis, IN 46278
Mailing address
1520 East 44TH Street
Anderson, IN 46013
Phone (765) 649-2928
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 |
|---|---|---|---|
| 36001139A | IN | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705276800000",
"number": "1740345024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1520 EAST 44TH STREET",
"city": "ANDERSON",
"state": "IN",
"postal_code": "46013",
"telephone_number": "765-649-2928",
"fax_number": "317-322-4287"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8227 NORTHWEST BLVD",
"address_2": "SUITE 160 ST VINCENT SPORTS MEDICINE CENTER",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "46278",
"telephone_number": "317-415-5747",
"fax_number": "317-322-4287"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLIFTON",
"first_name": "JANET",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "LAT ATC CSCS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-27",
"last_updated": "2024-01-15",
"certification_date": "2024-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "IN",
"license": "36001139A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.