Individual provider Active NPI

Tracy Beyer, LAT, ATC

  • Athletic Trainer
  • Charlotte, NC
National Provider Identifier
1740689884
Registry record updated Oct 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
Practice address
9201 University City Blvd
Charlotte, NC 28223-0001
Phone
(703) 687-1058
Fax
(703) 687-5335
NPI assigned
Aug 14, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X Primary

Addresses

Primary practice location

9201 University City Blvd
Charlotte, NC 28223-0001

Mailing address

150 Jamerson Athletic Ctr
510 Stadium Road
Blacksburg, VA 24061-0001

Other practice location 1

150 Jamerson Athletic Ctr
510 Stadium Road
Blacksburg, VA 24061-0001
Phone (540) 231-7741

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

NPI Registry JSON

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

{
    "created_epoch": "1407974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601510400000",
    "number": "1740689884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 JAMERSON ATHLETIC CTR",
            "address_2": "510 STADIUM ROAD",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240610001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9201 UNIVERSITY CITY BLVD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282230001",
            "telephone_number": "703-687-1058",
            "fax_number": "703-687-5335"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 Jamerson Athletic Ctr",
            "address_2": "510 Stadium Road",
            "address_purpose": "LOCATION",
            "city": "Blacksburg",
            "state": "VA",
            "postal_code": "240610001",
            "country_code": "US",
            "telephone_number": "540-231-7741",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEYER",
        "first_name": "TRACY",
        "credential": "LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-14",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2020; 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.