Individual provider Active NPI

Corinna Alysia Papps, MS, ATC, LAT

  • Athletic Trainer
  • Little Rock, AR
National Provider Identifier
1952893554
Registry record updated May 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
4765 Issued in FL
Practice address
104 Buckland PL
Little Rock, AR 72223-4567
Phone
(785) 248-4477
NPI assigned
May 31, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2018

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 4765 FL Primary

Addresses

Primary practice location

104 Buckland PL
Little Rock, AR 72223-4567

Mailing address

104 Buckland PL
Little Rock, AR 72223-4567
Phone (785) 248-4477

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
4765FLMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1527724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527724800000",
    "number": "1952893554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 BUCKLAND PL",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722234567",
            "telephone_number": "785-248-4477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 BUCKLAND PL",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722234567",
            "telephone_number": "785-248-4477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAPPS",
        "first_name": "CORINNA",
        "middle_name": "ALYSIA",
        "credential": "MS, ATC, LAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-31",
        "last_updated": "2018-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "4765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2018; 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.