Individual provider Active NPI

Aliza Kamman Nedimyer, MA, LAT, ATC

  • Athletic Trainer
  • Carrboro, NC
National Provider Identifier
1750758991
Registry record updated Sep 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
LAT-2674 Issued in NC
Practice address
101 Rock Haven Rd Apt D402
Carrboro, NC 27510-2578
Phone
(802) 349-5343
NPI assigned
Aug 24, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 2674 NC
Athletic Trainer 2255A2300X LAT-2674 NC Primary

Addresses

Primary practice location

101 Rock Haven Rd Apt D402
Carrboro, NC 27510-2578

Mailing address

2908 White Cross Rd
Chapel Hill, NC 27516-5892
Phone (802) 349-5343

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 Arts

State licenses

LicenseStateTypeSpecialty
2674NCMDAthletic Trainer
LAT-2674NCMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1440374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536710400000",
    "number": "1750758991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2908 WHITE CROSS RD",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275165892",
            "telephone_number": "802-349-5343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 ROCK HAVEN RD APT D402",
            "city": "CARRBORO",
            "state": "NC",
            "postal_code": "275102578",
            "telephone_number": "802-349-5343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEDIMYER",
        "first_name": "ALIZA",
        "middle_name": "KAMMAN",
        "credential": "MA, LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-24",
        "last_updated": "2018-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NC",
            "license": "2674",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NC",
            "license": "LAT-2674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2018; 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.