Active NPI
Sarah Larson, ATC
- Athletic Trainer
- Tampa, FL
National Provider Identifier
1902017189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AL1596
- Practice address
- 3500 E Fletcher Ave
Tampa, FL 33613-4708 - Phone
- (813) 210-0991
- NPI assigned
- May 27, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | AL1596 | FL | Primary |
Addresses
Primary practice location
3500 E Fletcher Ave
Tampa, FL 33613-4708
Mailing address
8550 Montravail Cir
Apt 529
Temple Terrace, FL 33637-3028
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 |
|---|---|---|---|
| AL1596 | FL | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185321600000",
"number": "1902017189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8550 MONTRAVAIL CIR",
"address_2": "APT 529",
"city": "TEMPLE TERRACE",
"state": "FL",
"postal_code": "336373028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 E FLETCHER AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336134708",
"telephone_number": "813-210-0991"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARSON",
"first_name": "SARAH",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-27",
"last_updated": "2007-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "FL",
"license": "AL1596",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.