Active NPI
Malinda Ann Rector, A.T.C.
- Athletic Trainer
- Prairie Grove, AR
National Provider Identifier
1881081081
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 410
- Practice address
- 11105 Meadowsweet Dr
Prairie Grove, AR 72753-8875 - Phone
- (479) 841-5107
- NPI assigned
- Apr 25, 2015
- 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 | 410 | AR | Primary |
Addresses
Primary practice location
11105 Meadowsweet Dr
Prairie Grove, AR 72753-8875
Mailing address
11105 Meadowsweet Dr
Prairie Grove, AR 72753-8875
Phone (479) 841-5107
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 |
|---|---|---|---|
| 410 | AR | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429920000000",
"number": "1881081081",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11105 MEADOWSWEET DR",
"city": "PRAIRIE GROVE",
"state": "AR",
"postal_code": "727538875",
"telephone_number": "479-841-5107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11105 MEADOWSWEET DR",
"city": "PRAIRIE GROVE",
"state": "AR",
"postal_code": "727538875",
"telephone_number": "479-841-5107"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RECTOR",
"first_name": "MALINDA",
"middle_name": "ANN",
"credential": "A.T.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-25",
"last_updated": "2015-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "AR",
"license": "410",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Prairie Grove, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.