Active NPI
Sarah Rose Chauvin, ATC
- Athletic Trainer
- Pekin, IN
National Provider Identifier
1891294872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 36002133A
- Practice address
- 1100 N Eastern School Rd
Pekin, IN 47165 - Phone
- (540) 819-3689
- NPI assigned
- Feb 6, 2018
- 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 | 36002133A | IN | Primary |
Addresses
Primary practice location
1100 N Eastern School Rd
Pekin, IN 47165
Mailing address
4065 Prestwick Square
New Albany, IN 47150
Phone (540) 819-3689
Other practice location 1
4065 Prestwick Square
New Albany, IN 47150
Phone (540) 819-3689
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 |
|---|---|---|---|
| 36002133A | IN | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1891294872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4065 PRESTWICK SQUARE",
"city": "NEW ALBANY",
"state": "IN",
"postal_code": "47150",
"telephone_number": "540-819-3689"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 N EASTERN SCHOOL RD",
"city": "PEKIN",
"state": "IN",
"postal_code": "47165",
"telephone_number": "540-819-3689"
}
],
"practiceLocations": [
{
"address_1": "4065 Prestwick Square",
"address_purpose": "LOCATION",
"city": "New Albany",
"state": "IN",
"postal_code": "47150",
"country_code": "US",
"telephone_number": "540-819-3689",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHAUVIN",
"first_name": "SARAH",
"middle_name": "ROSE",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-06",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "IN",
"license": "36002133A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pekin, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.