Active NPI
Cristy Rose
- Athletic Trainer
- Cottonwood, AZ
National Provider Identifier
1942121827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 338162
- Practice address
- 417 S 6TH St Ste D
Cottonwood, AZ 86326-4296 - Phone
- (845) 559-9342
- NPI assigned
- Jul 24, 2026
- Last updated
- Jul 24, 2026
- Sex
- Male
- 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 | 338162 | AZ | Primary |
Addresses
Primary practice location
417 S 6TH St Ste D
Cottonwood, AZ 86326-4296
Mailing address
417 S 6TH St Ste D
Cottonwood, AZ 86326-4296
Phone (845) 559-9342
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1784851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784851200000",
"number": "1942121827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "417 S 6TH ST STE D",
"city": "COTTONWOOD",
"state": "AZ",
"postal_code": "863264296",
"telephone_number": "845-559-9342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "417 S 6TH ST STE D",
"city": "COTTONWOOD",
"state": "AZ",
"postal_code": "863264296",
"telephone_number": "845-559-9342"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSE",
"first_name": "CRISTY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-07-24",
"last_updated": "2026-07-24",
"certification_date": "2026-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "AZ",
"license": "338162",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cottonwood, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.