Individual provider Active NPI

Christine C Barbara, ATC

  • Athletic Trainer
  • Staten Island, NY
National Provider Identifier
1942867924
Registry record updated May 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
001069-1 Issued in NY
Practice address
53 Dudley Ave
Staten Island, NY 10301-4003
Phone
(917) 974-2626
NPI assigned
May 24, 2019
Last updated
May 24, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 001069-1 NY Primary

Addresses

Primary practice location

53 Dudley Ave
Staten Island, NY 10301-4003

Mailing address

53 Dudley Ave
Staten Island, NY 10301-4003
Phone (917) 974-2626

Other names 1

  • Miss Christine C Myers Former name

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

LicenseStateTypeSpecialty
001069-1NYMDAthletic Trainer

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1558656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558656000000",
    "number": "1942867924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 DUDLEY AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103014003",
            "telephone_number": "917-974-2626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 DUDLEY AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103014003",
            "telephone_number": "917-974-2626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARBARA",
        "first_name": "CHRISTINE",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-24",
        "last_updated": "2019-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NY",
            "license": "001069-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "MYERS",
            "middle_name": "C",
            "prefix": "MISS",
            "credential": "ATC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2019; 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.