Active NPI
Joshua James Verry
- Athletic Trainer
- Coralville, IA
National Provider Identifier
1972070696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 99031
- Practice address
- 2048 Lynncrest Dr.
Coralville, IA 52241-5224 - Phone
- (319) 541-7292
- NPI assigned
- Oct 31, 2018
- Sex
- Male
- 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 | 99031 | IA | Primary |
Addresses
Primary practice location
2048 Lynncrest Dr.
Coralville, IA 52241-5224
Mailing address
2048 Lynncrest Dr
Coralville, IA 52241-2775
Phone (319) 541-7292
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 |
|---|---|---|---|
| 99031 | IA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540944000000",
"number": "1972070696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2048 LYNNCREST DR",
"city": "CORALVILLE",
"state": "IA",
"postal_code": "522412775",
"telephone_number": "319-541-7292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2048 LYNNCREST DR.",
"city": "CORALVILLE",
"state": "IA",
"postal_code": "522415224",
"telephone_number": "319-541-7292"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERRY",
"first_name": "JOSHUA",
"middle_name": "JAMES",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-10-31",
"last_updated": "2018-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "IA",
"license": "99031",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coralville, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 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.