Active NPI
Alethea Byrd
- Athletic Trainer
- Raleigh, NC
National Provider Identifier
1962951095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 2482
- Practice address
- 15 E Peace St
Raleigh, NC 27604-1176 - Phone
- (919) 508-2328
- NPI assigned
- Sep 30, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 2482 | NC | Primary |
| Massage Therapist | 225700000X | 6507 | NC |
Addresses
Primary practice location
15 E Peace St
Raleigh, NC 27604-1176
Mailing address
15 E Peace St
Raleigh, NC 27604-1176
Phone (919) 508-2328
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 |
|---|---|---|---|
| 2482 | NC | MD | Behavioral Analyst |
| 6507 | NC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475193600000",
"number": "1962951095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 E PEACE ST",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276041176",
"telephone_number": "919-508-2328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 E PEACE ST",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276041176",
"telephone_number": "919-508-2328"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BYRD",
"first_name": "ALETHEA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-09-30",
"last_updated": "2016-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NC",
"license": "2482",
"primary": true
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NC",
"license": "6507",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.