Individual provider Active NPI

Laramie Ann Glover

  • Athletic Trainer
  • Falls City, TX
National Provider Identifier
1790569325
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
Practice address
1025 County Road 388
Falls City, TX 78113-3048
Phone
(830) 391-2702
NPI assigned
Aug 23, 2023
Last updated
Jul 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X ATR-LAT-LIC-2926 MT
Athletic Trainer 2255A2300X 14063560-4810 UT
Athletic Trainer 2255A2300X NU Primary

Addresses

Primary practice location

1025 County Road 388
Falls City, TX 78113-3048

Mailing address

1025 County Road 388
Falls City, TX 78113-3048
Phone (830) 391-2702

Other identifiers 1

IdentifierTypeStateIssuer
2000055578OtherNATA BOC

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

State licenses

LicenseStateTypeSpecialty
ATR-LAT-LIC-2926MTMDAthletic Trainer
14063560-4810UTMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1692748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1790569325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 COUNTY ROAD 388",
            "city": "FALLS CITY",
            "state": "TX",
            "postal_code": "781133048",
            "telephone_number": "830-391-2702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 COUNTY ROAD 388",
            "city": "FALLS CITY",
            "state": "TX",
            "postal_code": "781133048",
            "telephone_number": "830-391-2702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLOVER",
        "first_name": "LARAMIE",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-23",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MT",
            "license": "ATR-LAT-LIC-2926",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "UT",
            "license": "14063560-4810",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATA BOC",
            "identifier": "2000055578",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.

Verify at the official NPI Registry.