Active NPI
Mary Pust, MS, LAT, ATC
- Athletic Trainer
- Arden, NC
National Provider Identifier
1922499227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- LAT-2527
- Practice address
- 300 Long Shoals Rd
Apartment 17W
Arden, NC 28704-7739 - Phone
- (814) 218-5742
- NPI assigned
- Feb 9, 2015
- 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 | LAT-2527 | NC | Primary |
Addresses
Primary practice location
300 Long Shoals Rd
Apartment 17W
Arden, NC 28704-7739
Mailing address
300 Long Shoals Rd
Apartment 17W
Arden, NC 28704-7739
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LAT-2527 | NC | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423440000000",
"number": "1922499227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 LONG SHOALS RD",
"address_2": "APARTMENT 17W",
"city": "ARDEN",
"state": "NC",
"postal_code": "287047739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 LONG SHOALS RD",
"address_2": "APARTMENT 17W",
"city": "ARDEN",
"state": "NC",
"postal_code": "287047739",
"telephone_number": "814-218-5742"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUST",
"first_name": "MARY",
"credential": "MS, LAT, ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-02-09",
"last_updated": "2015-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NC",
"license": "LAT-2527",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arden, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.