Active NPI
Bonnie J Siple, ATC
- Athletic Trainer
- Slippery Rock, PA
National Provider Identifier
1831273226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- RT000986A
- Practice address
- 112 West Gym
Slippery Rock University of PA
Slippery Rock, PA 16057 - Phone
- (724) 738-2930
- NPI assigned
- Oct 24, 2006
- 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 | RT000986A | PA | Primary |
Addresses
Primary practice location
112 West Gym
Slippery Rock University of PA
Slippery Rock, PA 16057
Mailing address
112 West Gym
Slippery Rock University of PA
Slippery Rock, PA 16057
Phone (724) 738-2930
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 |
|---|---|---|---|
| RT000986A | PA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1831273226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 WEST GYM",
"address_2": "SLIPPERY ROCK UNIVERSITY OF PA",
"city": "SLIPPERY ROCK",
"state": "PA",
"postal_code": "16057",
"telephone_number": "724-738-2930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 WEST GYM",
"address_2": "SLIPPERY ROCK UNIVERSITY OF PA",
"city": "SLIPPERY ROCK",
"state": "PA",
"postal_code": "16057",
"telephone_number": "724-738-2930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIPLE",
"first_name": "BONNIE",
"middle_name": "J",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "PA",
"license": "RT000986A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Slippery Rock, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.