Active NPI
Christen O'Connell, A.T.
- Athletic Trainer
- Dearborn, MI
National Provider Identifier
1962829200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 2087632
- Practice address
- 5500 Auto Club Dr
Suite 150
Dearborn, MI 48126-2779 - Phone
- (313) 982-8266
- NPI assigned
- Mar 25, 2014
- 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 | 2087632 | MI | Primary |
Addresses
Primary practice location
5500 Auto Club Dr
Suite 150
Dearborn, MI 48126-2779
Mailing address
5500 Auto Club Dr
Suite 150
Dearborn, MI 48126-2779
Phone (313) 982-8266
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 |
|---|---|---|---|
| 2087632 | MI | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395705600000",
"number": "1962829200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5500 AUTO CLUB DR",
"address_2": "SUITE 150",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481262779",
"telephone_number": "313-982-8266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5500 AUTO CLUB DR",
"address_2": "SUITE 150",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481262779",
"telephone_number": "313-982-8266"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'CONNELL",
"first_name": "CHRISTEN",
"credential": "A.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-25",
"last_updated": "2014-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MI",
"license": "2087632",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dearborn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.