Individual provider Active NPI

Donald Lee Bishop, MA, ATC, LAT

  • Athletic Trainer
  • Cedar Falls, IA
National Provider Identifier
1881856490
Registry record updated Jun 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
00074 Issued in IA
Practice address
Human Performance Center 2351
Hudson Road
Cedar Falls, IA 50614-0001
Phone
(319) 273-6369
Fax
(319) 273-7023
NPI assigned
Jun 26, 2008
Last updated
Jun 26, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 00074 IA Primary

Addresses

Primary practice location

Human Performance Center 2351
Hudson Road
Cedar Falls, IA 50614-0001

Mailing address

Human Performance Center 2351
Hudson Road
Cedar Falls, IA 50614-0001
Phone (319) 273-6369

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
00074IAMDOccupational Therapy Assistant

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214438400000",
    "number": "1881856490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HUMAN PERFORMANCE CENTER 2351",
            "address_2": "HUDSON ROAD",
            "city": "CEDAR FALLS",
            "state": "IA",
            "postal_code": "506140001",
            "telephone_number": "319-273-6369",
            "fax_number": "319-273-7023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HUMAN PERFORMANCE CENTER 2351",
            "address_2": "HUDSON ROAD",
            "city": "CEDAR FALLS",
            "state": "IA",
            "postal_code": "506140001",
            "telephone_number": "319-273-6369",
            "fax_number": "319-273-7023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISHOP",
        "first_name": "DONALD",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "MA, ATC, LAT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-26",
        "last_updated": "2008-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IA",
            "license": "00074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Falls, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.