Active NPI
Brenna Lape, ATC
- Athletic Trainer
- Mahopac, NY
National Provider Identifier
1801278494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 002002-1
- Practice address
- 421 Baldwin Place Rd
Mahopac, NY 10541-4611 - Phone
- (845) 628-3256
- NPI assigned
- Jun 19, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 002002-1 | NY | Primary |
Addresses
Primary practice location
421 Baldwin Place Rd
Mahopac, NY 10541-4611
Mailing address
837 N Clove Rd
Millbrook, NY 12545-6603
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
| License | State | Type | Specialty |
|---|---|---|---|
| 002002-1 | NY | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434672000000",
"number": "1801278494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "837 N CLOVE RD",
"city": "MILLBROOK",
"state": "NY",
"postal_code": "125456603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "421 BALDWIN PLACE RD",
"city": "MAHOPAC",
"state": "NY",
"postal_code": "105414611",
"telephone_number": "845-628-3256"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAPE",
"first_name": "BRENNA",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-19",
"last_updated": "2015-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NY",
"license": "002002-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.