Nathaniel Larue Burney, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2014028842 Issued in MO

Practice address

633 Emerson Rd
Suite 20
Creve Coeur, MO 63141-6739

Phone

(785) 845-3358

NPI assigned

Mar 2, 2012

Last updated

Mar 12, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Mr. Nathan Larue Burney Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1330646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426118400000",
    "number": "1760756126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 EMERSON RD",
            "address_2": "SUITE 20",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631416739",
            "telephone_number": "785-845-3358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 EMERSON RD",
            "address_2": "SUITE 20",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631416739",
            "telephone_number": "785-845-3358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNEY",
        "first_name": "NATHANIEL",
        "middle_name": "LARUE",
        "name_prefix": "Mr.",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-02",
        "last_updated": "2015-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NM",
            "license": "416",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MO",
            "license": "2014028842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NATHAN",
            "last_name": "BURNEY",
            "middle_name": "LARUE",
            "prefix": "MR.",
            "credential": "ATC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Julie Marie Brown, NNP
• Bryan Emerson DC
• Amanda E Bryant, LPC
• Michelle Perez Burghart, OD
• Summer Ann Burmeister
• Hannah Byers, NP
• Alfredo Rene Calderon, DDS
• Jennifer Patricia Campbell, MA, LPC, CCDP-D
• Rosemary Louise Cannistraro, M.D. PHD
• Patti Ann Carbol, M.S.CCC-SLP

• Athletic Trainer in Creve Coeur, MO
• Providers in Creve Coeur, MO by specialty
• Athletic Trainer in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2015; 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.