Bridget Pinoniemi, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

772-17 Issued in ND

Practice address

2751 2ND Ave N Stop 9013
Grand Forks, ND 58202-9013

Phone

(701) 777-2977

Fax

(701) 777-2536

NPI assigned

Oct 31, 2017

Last updated

Oct 31, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1509408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509408000000",
    "number": "1801308770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2751 2ND AVE N STOP 9013",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582029013",
            "telephone_number": "701-777-2977",
            "fax_number": "701-777-2536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2751 2ND AVE N STOP 9013",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582029013",
            "telephone_number": "701-777-2977",
            "fax_number": "701-777-2536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINONIEMI",
        "first_name": "BRIDGET",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-31",
        "last_updated": "2017-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "ND",
            "license": "772-17",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ATHLETIC TRAINER",
            "identifier": "772-17",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2017; 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.