Active NPI
Amber McNulty
- Athletic Trainer
- Troy, AL
National Provider Identifier
1770100059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 600 University Ave
Troy, AL 36082-2934 - Phone
- (800) 414-5756
- NPI assigned
- Jul 2, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Athletic Trainer | 2255A2300X | Primary |
Addresses
Primary practice location
600 University Ave
Troy, AL 36082-2934
Mailing address
300 E Park St
Forestville, WI 54213-9658
Phone (920) 495-2402
Other practice location 1
300 E Park St
Forestville, WI 54213-9658
Phone (920) 495-2402
Other practice location 2
3409 N Downer Ave
Milwaukee, WI 53211-2934
Phone (414) 229-3914
Other practice location 3
900 Arkadelphia Rd
Birmingham, AL 35254-2934
Phone (800) 523-5793
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": "1593648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734912000000",
"number": "1770100059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 E PARK ST",
"city": "FORESTVILLE",
"state": "WI",
"postal_code": "542139658",
"telephone_number": "920-495-2402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 UNIVERSITY AVE",
"city": "TROY",
"state": "AL",
"postal_code": "360822934",
"telephone_number": "800-414-5756"
}
],
"practiceLocations": [
{
"address_1": "300 E Park St",
"address_purpose": "LOCATION",
"city": "Forestville",
"state": "WI",
"postal_code": "542139658",
"country_code": "US",
"telephone_number": "920-495-2402",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3409 N Downer Ave",
"address_purpose": "LOCATION",
"city": "Milwaukee",
"state": "WI",
"postal_code": "532112934",
"country_code": "US",
"telephone_number": "414-229-3914",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "900 Arkadelphia Rd",
"address_purpose": "LOCATION",
"city": "Birmingham",
"state": "AL",
"postal_code": "352542934",
"country_code": "US",
"telephone_number": "800-523-5793",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCNULTY",
"first_name": "AMBER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-02",
"last_updated": "2024-12-23",
"certification_date": "2024-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Troy, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.