Active NPI
Madison Stumpf I, ATC
- Athletic Trainer
- Orem, UT
National Provider Identifier
1912410259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 10457472-4810
- Practice address
- 800 W University Pkwy
Orem, UT 84058-6703 - Phone
- (360) 607-2775
- NPI assigned
- Nov 8, 2017
- 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 | 10457472-4810 | UT | Primary |
Addresses
Primary practice location
800 W University Pkwy
Orem, UT 84058-6703
Mailing address
1963 S 1200 E Apt 603
Salt Lake City, UT 84105-3528
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 |
|---|---|---|---|
| 10457472-4810 | UT | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Utah Valley University | Athletic Trainer | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Sports Medicine (Internal Medicine) Physician
- Orem, UT
- NPI 1962805358
Athletic Trainer
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510099200000",
"number": "1912410259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1963 S 1200 E APT 603",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841053528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 W UNIVERSITY PKWY",
"city": "OREM",
"state": "UT",
"postal_code": "840586703",
"telephone_number": "360-607-2775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STUMPF",
"first_name": "MADISON",
"name_suffix": "I",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-11-08",
"last_updated": "2017-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "UT",
"license": "10457472-4810",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orem, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.