Individual provider Active NPI

Amanda Beal Dunens, ATC, LAT

  • Athletic Trainer
  • Elon, NC
National Provider Identifier
1891289971
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
2941 Issued in NC
Practice address
2500 Campus Box # 104
Elon, NC 27244-2005
Phone
(336) 278-6837
NPI assigned
Jun 21, 2018
Last updated
Jun 21, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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 2941 NC Primary

Addresses

Primary practice location

2500 Campus Box # 104
Elon, NC 27244-2005

Mailing address

2156 Boyd Creek Dr
Graham, NC 27253-3522
Phone (713) 304-1162

Other names 1

  • Amanda Beal Garrison Former name

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

LicenseStateTypeSpecialty
2941NCMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1529539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529539200000",
    "number": "1891289971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2156 BOYD CREEK DR",
            "city": "GRAHAM",
            "state": "NC",
            "postal_code": "272533522",
            "telephone_number": "713-304-1162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 CAMPUS BOX # 104",
            "city": "ELON",
            "state": "NC",
            "postal_code": "272442005",
            "telephone_number": "336-278-6837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNENS",
        "first_name": "AMANDA",
        "middle_name": "BEAL",
        "credential": "ATC, LAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-21",
        "last_updated": "2018-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NC",
            "license": "2941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "GARRISON",
            "middle_name": "BEAL",
            "credential": "ATC, LAT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Elon, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.