NPIMap

Organization Active NPI

Alabama a&M University

Doing business as AAMU Sports Medicine

  • Student Health Clinic/Center
  • Normal, AL
National Provider Identifier
1952731408
Registry record updated Nov 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
Legal business name
ALABAMA A&M UNIVERSITY
Doing business as
AAMU Sports Medicine
Practice address
4900 Meridian Stree
Normal, AL 35762
Phone
(256) 372-4001
NPI assigned
Nov 20, 2013
Last updated
Nov 20, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2013

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

Authorized official

Name
Jessie Zucnick-KimbugweNPI 1053676551
Title
Director of Sports Medicine
Phone
(256) 372-8458

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student Health Clinic/Center 261QS1000X Primary

Addresses

Primary practice location

4900 Meridian Stree
Normal, AL 35762

Mailing address

PO Box 1597
Normal, AL 35762-1597

Other names 1

  • AAMU Sports Medicine Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Aamu Counseling3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1384905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384905600000",
    "number": "1952731408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1597",
            "city": "NORMAL",
            "state": "AL",
            "postal_code": "357621597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 MERIDIAN STREE",
            "city": "NORMAL",
            "state": "AL",
            "postal_code": "35762",
            "telephone_number": "256-372-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALABAMA A&M UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-20",
        "last_updated": "2013-11-20",
        "status": "A",
        "authorized_official_last_name": "ZUCNICK-KIMBUGWE",
        "authorized_official_first_name": "JESSIE",
        "authorized_official_title_or_position": "DIRECTOR OF SPORTS MEDICINE",
        "authorized_official_telephone_number": "256-372-8458"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AAMU Sports Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Normal, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2013; 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.