Active NPI
Tina Claiborne, PHD, ATC, CSCS
- Clinic/Center
- Adrian, MI
National Provider Identifier
1982151189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- L508225
- Practice address
- 110 S Madison St
212 Merillat
Adrian, MI 49221-2518 - Phone
- (517) 265-5161
- NPI assigned
- Sep 6, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | L508225 | MI | Primary |
Addresses
Primary practice location
110 S Madison St
212 Merillat
Adrian, MI 49221-2518
Mailing address
110 S Madison St
Adrian, MI 49221-2518
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L508225 | MI | MD | Clinic/Center |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473120000000",
"number": "1982151189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 S MADISON ST",
"city": "ADRIAN",
"state": "MI",
"postal_code": "492212518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 S MADISON ST",
"address_2": "212 MERILLAT",
"city": "ADRIAN",
"state": "MI",
"postal_code": "492212518",
"telephone_number": "517-265-5161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLAIBORNE",
"first_name": "TINA",
"name_prefix": "Dr.",
"credential": "PHD, ATC, CSCS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-09-06",
"last_updated": "2016-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "MI",
"license": "L508225",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Adrian, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.