Stephanie Michelle Bass, ATC/R

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

117264 Issued in MO

Practice address

2725 N Westwood Blvd
Poplar Bluff, MO 63901-2346

Phone

(573) 778-9348

Fax

(573) 686-4870

NPI assigned

Dec 5, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1196812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196812800000",
    "number": "1922280668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2725 N WESTWOOD BLVD",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639012346",
            "telephone_number": "573-778-9348",
            "fax_number": "573-686-4870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2725 N WESTWOOD BLVD",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639012346",
            "telephone_number": "573-778-9348",
            "fax_number": "573-686-4870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASS",
        "first_name": "STEPHANIE",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "ATC/R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-05",
        "last_updated": "2007-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MO",
            "license": "117264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lee Michael Barnes, M.S.W., L.C.S.W.
• Magen Barnes
• Cassie C Barnett, PT
• Savannah Sue-Ann Barnett
• Craig M Barwick, MSW, LCSW
• Bijan Bastaninejad, M.D.
• Jonathan Richard Bates
• Miranda Lee Bates, OTR/L
• Jill Baugh, PT
• Jacob N Baugus, LCSW

• Athletic Trainer in Poplar Bluff, MO
• Providers in Poplar Bluff, MO by specialty
• Athletic Trainer in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.

Verify at the official NPI Registry.