Emily Sue Haywood, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

1879 Issued in MN

Practice address

9701 Nicollet Ave S
Bloomington, MN 55420-4448

Phone

(952) 681-5207

NPI assigned

Dec 22, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932264777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W 96TH ST",
            "address_2": "APT 1 F",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554204375",
            "telephone_number": "952-836-7808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9701 NICOLLET AVE S",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554204448",
            "telephone_number": "952-681-5207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYWOOD",
        "first_name": "EMILY",
        "middle_name": "SUE",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MN",
            "license": "1879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elle Hawkinson, AUDIOLOGIST
• Kenneth C Haycraft Jr., MD
• Laurel L Haycraft, MD
• Amy Haynes, DPT, PT
• Aisha Hayow
• Mikel Headford, DO
• Healing Home Healthcare, LLC
• Healing Waters Recovery Counseling
• Healthgrouphomecare LLC
• Healthpartners Health Promotion Department

• Athletic Trainer in Bloomington, MN
• Providers in Bloomington, MN by specialty
• Athletic Trainer in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.