Active NPI
Camaryn Bricker, LAT, ATC
- Athletic Trainer
- Meridian, ID
National Provider Identifier
1922724558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT-840
- Practice address
- 520 S Eagle Rd Ste 3213
Meridian, ID 83642-6356 - Phone
- (208) 706-5000
- NPI assigned
- Oct 14, 2022
- Last updated
- Oct 14, 2022
- 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 | AT-840 | ID | Primary |
Addresses
Primary practice location
520 S Eagle Rd Ste 3213
Meridian, ID 83642-6356
Mailing address
180 Edythe St
Livermore, CA 94550-4019
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2000051191 | Other | ID | NATA BOARD OF CERTIFICATION |
| AT-840 | Other | ID | IDAHO BOARD OF MEDICINE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | EPIC | Direct |
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 |
|---|---|---|---|
| AT-840 | ID | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665705600000",
"number": "1922724558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "180 EDYTHE ST",
"city": "LIVERMORE",
"state": "CA",
"postal_code": "945504019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 S EAGLE RD STE 3213",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836426356",
"telephone_number": "208-706-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRICKER",
"first_name": "CAMARYN",
"credential": "LAT, ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-14",
"last_updated": "2022-10-14",
"certification_date": "2022-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "ID",
"license": "AT-840",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATA BOARD OF CERTIFICATION",
"identifier": "2000051191",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IDAHO BOARD OF MEDICINE",
"identifier": "AT-840",
"state": "ID"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "EPIC",
"affiliation": "N",
"endpointDescription": "EMR system",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "EMR",
"address_1": "520 S Eagle Rd Ste 3213",
"city": "Meridian",
"state": "ID",
"country_code": "US",
"postal_code": "836426356",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Meridian, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.