Active NPI
Brandi Bluearm, MS, LAT, ATC
- Athletic Trainer
- Minneapolis, MN
National Provider Identifier
1831665868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 3253
- Practice address
- 1410 Elliot Ave
Minneapolis, MN 55404-1300 - Phone
- (605) 202-0355
- NPI assigned
- Oct 17, 2018
- 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 | 3253 | MN | Primary |
Addresses
Primary practice location
1410 Elliot Ave
Minneapolis, MN 55404-1300
Mailing address
4247 31St Ave S
Minneapolis, MN 55406-3311
Other practice location 1
2305 Links St
Mankato, MN 56001-1402
Phone (605) 202-0355
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3253 | MN | MD | Corneal and Contact Management Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572912000000",
"number": "1831665868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4247 31ST AVE S",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554063311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1410 ELLIOT AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554041300",
"telephone_number": "605-202-0355"
}
],
"practiceLocations": [
{
"address_1": "2305 Links St",
"address_purpose": "LOCATION",
"city": "Mankato",
"state": "MN",
"postal_code": "560011402",
"country_code": "US",
"telephone_number": "605-202-0355",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BLUEARM",
"first_name": "BRANDI",
"credential": "MS, LAT, ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-10-17",
"last_updated": "2019-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MN",
"license": "3253",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.