Active NPI
Averie Breeana Barrett, ATC
- Athletic Trainer
- Mankato, MN
National Provider Identifier
1790145274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 2227
- Practice address
- 210 Weaver St
Mankato, MN 56001-4663 - Phone
- (507) 469-2291
- NPI assigned
- Feb 26, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 | 2227 | MN | Primary |
Addresses
Primary practice location
210 Weaver St
Mankato, MN 56001-4663
Mailing address
210 Weaver St
Mankato, MN 56001-4663
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": "1456444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456444800000",
"number": "1790145274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 WEAVER ST",
"city": "MANKATO",
"state": "MN",
"postal_code": "560014663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 WEAVER ST",
"city": "MANKATO",
"state": "MN",
"postal_code": "560014663",
"telephone_number": "507-469-2291"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARRETT",
"first_name": "AVERIE",
"middle_name": "BREEANA",
"name_prefix": "Mrs.",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-02-26",
"last_updated": "2016-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MN",
"license": "2227",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mankato, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.