Active NPI
Aricka Rose O'Gorman, LAT, ATC
- Athletic Trainer
- Mankato, MN
National Provider Identifier
1841836152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 3282
- Practice address
- 1431 Premier Dr
Mankato, MN 56001-6076 - Phone
- (507) 386-6600
- NPI assigned
- Nov 21, 2019
- 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 | 3282 | MN | Primary |
Addresses
Primary practice location
1431 Premier Dr
Mankato, MN 56001-6076
Mailing address
210 Roosevelt Cir Apt 208
Mankato, MN 56001-2683
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 |
|---|---|---|---|
| 3282 | MN | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574294400000",
"number": "1841836152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 ROOSEVELT CIR APT 208",
"city": "MANKATO",
"state": "MN",
"postal_code": "560012683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1431 PREMIER DR",
"city": "MANKATO",
"state": "MN",
"postal_code": "560016076",
"telephone_number": "507-386-6600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'GORMAN",
"first_name": "ARICKA",
"middle_name": "ROSE",
"credential": "LAT, ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-11-21",
"last_updated": "2019-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MN",
"license": "3282",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mankato, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.