Active NPI
Alexa Noelle Brewster, ATHLETIC TRAINER
- Athletic Trainer
- Akron, OH
National Provider Identifier
1871137802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT005577
- Practice address
- 3975 Embassy Pkwy Ste a
Akron, OH 44333-8319 - Phone
- (330) 668-4055
- NPI assigned
- Nov 2, 2019
- 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 | AT005577 | OH | Primary |
Addresses
Primary practice location
3975 Embassy Pkwy Ste a
Akron, OH 44333-8319
Mailing address
1214 Andy Dr
Streetsboro, OH 44241-4910
Phone (330) 564-6939
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 |
|---|---|---|---|
| AT005577 | OH | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572652800000",
"number": "1871137802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1214 ANDY DR",
"city": "STREETSBORO",
"state": "OH",
"postal_code": "442414910",
"telephone_number": "330-564-6939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3975 EMBASSY PKWY STE A",
"city": "AKRON",
"state": "OH",
"postal_code": "443338319",
"telephone_number": "330-668-4055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREWSTER",
"first_name": "ALEXA",
"middle_name": "NOELLE",
"credential": "ATHLETIC TRAINER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-02",
"last_updated": "2019-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "OH",
"license": "AT005577",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Akron, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.