Active NPI
Stephen Lloyd Mundee
- Athletic Trainer
- Alamosa, CO
National Provider Identifier
1902348691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 727 Cielo Azul Apt B7
Alamosa, CO 81101-8816 - Phone
- (801) 916-4502
- NPI assigned
- Nov 10, 2016
- Sex
- Male
- 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 | Primary |
Addresses
Primary practice location
727 Cielo Azul Apt B7
Alamosa, CO 81101-8816
Mailing address
727 Cielo Azul Apt B7
Alamosa, CO 81101-8816
Phone (801) 916-4502
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2000018898 | Other | BOARD OF CERTIFICATION |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478736000000",
"number": "1902348691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "727 CIELO AZUL APT B7",
"city": "ALAMOSA",
"state": "CO",
"postal_code": "811018816",
"telephone_number": "801-916-4502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "727 CIELO AZUL APT B7",
"city": "ALAMOSA",
"state": "CO",
"postal_code": "811018816",
"telephone_number": "801-916-4502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUNDEE",
"first_name": "STEPHEN",
"middle_name": "LLOYD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-11-10",
"last_updated": "2016-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF CERTIFICATION",
"identifier": "2000018898",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Alamosa, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.