Active NPI
Dawn Yvonne Anthony, ATC
- Athletic Trainer
- Charlotte, NC
National Provider Identifier
1841371374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 1500
- Practice address
- 748 Stanfield Dr
Charlotte, NC 28210-2816 - Phone
- (724) 859-2536
- NPI assigned
- Oct 18, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | RT003719 | PA | |
| Athletic Trainer | 2255A2300X | 1500 | NC | Primary |
Addresses
Primary practice location
748 Stanfield Dr
Charlotte, NC 28210-2816
Mailing address
748 Stanfield Dr
Charlotte, NC 28210-2816
Phone (724) 859-2536
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1500 | Other | NC | NC LICENSE |
| 020502121 | Other | PA | NATA CERTIFICATION NUMBER |
| RT003719 | Other | PA | PA STATE LICENSE NUMBER |
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 |
|---|---|---|---|
| 1500 | NC | MD | Athletic Trainer |
| RT003719 | PA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327017600000",
"number": "1841371374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "748 STANFIELD DR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282102816",
"telephone_number": "724-859-2536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "748 STANFIELD DR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282102816",
"telephone_number": "724-859-2536"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANTHONY",
"first_name": "DAWN",
"middle_name": "YVONNE",
"name_prefix": "Ms.",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-18",
"last_updated": "2012-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "PA",
"license": "RT003719",
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NC",
"license": "1500",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NC LICENSE",
"identifier": "1500",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATA CERTIFICATION NUMBER",
"identifier": "020502121",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PA STATE LICENSE NUMBER",
"identifier": "RT003719",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.