Active NPI
Allison Butterfield, ATC, LAT
- Athletic Trainer
- Wilkes Barre, PA
National Provider Identifier
1861949059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- ATL3451
- Practice address
- 133 N River St
Wilkes Barre, PA 18711-0800 - Phone
- (570) 208-5900
- NPI assigned
- Sep 6, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Student Health Clinic/Center
- Wilkes Barre, PA
- NPI 1164749966
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 |
|---|---|---|---|
| ATL3451 | MA | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| King'S College | Past | Accepting new patients |
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Athletic Trainer | 2255A2300X | ATL3451 | MA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
133 N River St
Wilkes Barre, PA 18711-0800
Mailing address
25 Mount Warner Rd
Hadley, MA 01035-9674
Phone (135) 618-1164
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 1, 2024.
{
"created_epoch": "1473120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727740800000",
"number": "1861949059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 MOUNT WARNER RD",
"city": "HADLEY",
"state": "MA",
"postal_code": "010359674",
"telephone_number": "135-618-1164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "133 N RIVER ST",
"city": "WILKES BARRE",
"state": "PA",
"postal_code": "187110800",
"telephone_number": "570-208-5900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTTERFIELD",
"first_name": "ALLISON",
"credential": "ATC, LAT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-06",
"last_updated": "2024-10-01",
"certification_date": "2024-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MA",
"license": "ATL3451",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilkes Barre, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.