Active NPI
Stacy Blickman
- Athletic Trainer
- Miami, FL
National Provider Identifier
1902258981
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AL4566
- Practice address
- 11200 SW 8TH St
Miami, FL 33199-2516 - Phone
- (305) 348-2000
- NPI assigned
- Jul 1, 2016
- 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 | AL4566 | FL | Primary |
Addresses
Primary practice location
11200 SW 8TH St
Miami, FL 33199-2516
Mailing address
18 Apple Way
Marlton, NJ 08053-1249
Phone (856) 630-2274
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 |
|---|---|---|---|
| AL4566 | FL | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467331200000",
"number": "1902258981",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 APPLE WAY",
"city": "MARLTON",
"state": "NJ",
"postal_code": "080531249",
"telephone_number": "856-630-2274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11200 SW 8TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331992516",
"telephone_number": "305-348-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLICKMAN",
"first_name": "STACY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-01",
"last_updated": "2016-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "FL",
"license": "AL4566",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.