Individual provider Active NPI

Nancy Nguon, ATC, CPT

  • Athletic Trainer
  • Williston, VT
National Provider Identifier
1003303595
Registry record updated Jul 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
Practice address
802 Industrial Ave
Williston, VT 05495-7122
Phone
(802) 863-2272
Fax
(802) 658-0823
NPI assigned
Apr 19, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X CT Primary

Addresses

Primary practice location

802 Industrial Ave
Williston, VT 05495-7122

Mailing address

184 Everbreeze Dr
Colchester, VT 05446-1531
Phone (802) 391-7129

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bisaccia Chiropractors PC CurrentSince Jul 17, 2022 Accepting new patients
Valley Sports Physicians & Orthopedic Medicine Past Accepting new patients

Locations

802 Industrial Ave
Williston, VT 05495
Phone (802) 863-2272

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1524096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657670400000",
    "number": "1003303595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "184 EVERBREEZE DR",
            "city": "COLCHESTER",
            "state": "VT",
            "postal_code": "054461531",
            "telephone_number": "802-391-7129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 INDUSTRIAL AVE",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "054957122",
            "telephone_number": "802-863-2272",
            "fax_number": "802-658-0823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUON",
        "first_name": "NANCY",
        "credential": "ATC, CPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-19",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williston, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2022; 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.