Active NPI
Nicole Alicia Cornell, AT, ATC
- Athletic Trainer
- Marquette, MI
National Provider Identifier
1932659448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- L532066
- Practice address
- 555 County Road HQ
Marquette, MI 49855-8855 - Phone
- (906) 225-5044
- NPI assigned
- Oct 7, 2016
- 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 | L532066 | MI | Primary |
Addresses
Primary practice location
555 County Road HQ
Marquette, MI 49855-8855
Mailing address
920 Jefferson St
Apartment 11
Marquette, MI 49855-3967
Phone (906) 280-5426
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 |
|---|---|---|---|
| L532066 | MI | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475798400000",
"number": "1932659448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "920 JEFFERSON ST",
"address_2": "APARTMENT 11",
"city": "MARQUETTE",
"state": "MI",
"postal_code": "498553967",
"telephone_number": "906-280-5426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 COUNTY ROAD HQ",
"city": "MARQUETTE",
"state": "MI",
"postal_code": "498558855",
"telephone_number": "906-225-5044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORNELL",
"first_name": "NICOLE",
"middle_name": "ALICIA",
"credential": "AT, ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-07",
"last_updated": "2016-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MI",
"license": "L532066",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marquette, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.