Active NPI
Ann Elizabeth Wiringa, MPH, CPH, ATC, LAT
- Athletic Trainer
- Baltimore, MD
National Provider Identifier
1851797674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- RT004501
- Practice address
- 513 S Milton Ave
Baltimore, MD 21224-3750 - Phone
- (718) 635-3808
- NPI assigned
- Nov 5, 2014
- Sex
- Female
- Sole proprietor
- No
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 | RT004501 | PA | Primary |
Addresses
Primary practice location
513 S Milton Ave
Baltimore, MD 21224-3750
Mailing address
513 S Milton Ave
Baltimore, MD 21224-3750
Phone (718) 635-3808
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 |
|---|---|---|---|
| RT004501 | PA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415145600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466035200000",
"number": "1851797674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "513 S MILTON AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212243750",
"telephone_number": "718-635-3808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "513 S MILTON AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212243750",
"telephone_number": "718-635-3808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIRINGA",
"first_name": "ANN",
"middle_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "MPH, CPH, ATC, LAT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-11-05",
"last_updated": "2016-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "PA",
"license": "RT004501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.