AUDREY EBERT MS, LAT, ATC NPI 1407482755

Specialist/Technologist (Athletic Trainer) in Tacoma, WA

Individual Female Specialist/Technologist Athletic Trainer

About AUDREY EBERT

Audrey Ebert is a provider established in Tacoma, Washington and her medical specialization is specialist/technologist. The NPI number of Audrey Ebert is 1407482755 and was assigned on March 2020. The practitioner's primary taxonomy code is 2255A2300X. The provider is registered as an individual and her NPI record was last updated March 2020.

NPI

1407482755

Provider Name AUDREY EBERT MS, LAT, ATC
Provider Location Address4215 S 30TH ST APT G245 TACOMA, WA 98409
Provider Mailing Address4215 S 30TH ST APT G245 TACOMA, WA 98409
GenderFemale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date03-19-2020
Last Update Date03-19-2020

Primary Taxonomy

Taxonomy Code2255A2300X
ClassificationSpecialist/Technologist
TypeRespiratory, Developmental, Rehabilitative and Restorative Service Providers
SpecializationAthletic Trainer
Taxonomy DescriptionAthletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

Business Address

AUDREY EBERT MS, LAT, ATC
4215 S 30TH ST APT G245
TACOMA, WA
ZIP 98409
Phone: (208) 582-0386

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Mailing Address

AUDREY EBERT MS, LAT, ATC
4215 S 30TH ST APT G245
TACOMA, WA
ZIP 98409
Phone: (208) 582-0386

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.