Rachel Ann Mazzola, ATR, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2990 Issued in MN

Practice address

909 Fulton St SE
Minneapolis, MN 55455-4800

Phone

(676) 612-5052

NPI assigned

May 23, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1495497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1962930842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 SELBY AVE APT 336",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551043943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 FULTON ST SE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554554800",
            "telephone_number": "676-612-5052"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "360 Sherman St",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551022564",
            "country_code": "US",
            "telephone_number": "651-203-5130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAZZOLA",
        "first_name": "RACHEL",
        "middle_name": "ANN",
        "credential": "ATR, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-23",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": "2000028773",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MN",
            "license": "2990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna Rae Mayotte, LP
• Marshall A. Mazepa, M.D.
• Aysha Mazumdar Stanger, LPCC
• Teddy M Mazurek, D.C.
• Simon Louis Mazza, PA-C, MSPAS
• Chelsey Chisom Mbachu
• Mackenzi Mbai, M.D.
• Helen Magiri Mbiyu, PHARMD
• Jessica Lynn McAdam
• McKenzie McAdaragh, DNP, ARNP, FNP-C

• Athletic Trainer in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Athletic Trainer in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.