Trahern Michael White, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT001820 Issued in WV

Practice address

59 College Ave
Buckhannon, WV 26201-2600

Phone

(304) 439-1879

NPI assigned

Jan 11, 2022

Last updated

Jan 11, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1641859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641859200000",
    "number": "1003567132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 COLLEGE AVE # MSC2224",
            "city": "BUCKHANNON",
            "state": "WV",
            "postal_code": "262012600",
            "telephone_number": "304-439-1879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 COLLEGE AVE",
            "city": "BUCKHANNON",
            "state": "WV",
            "postal_code": "262012600",
            "telephone_number": "304-439-1879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "TRAHERN",
        "middle_name": "MICHAEL",
        "credential": "LAT, ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-01-11",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "WV",
            "license": "AT001820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katina Lynn Westfall, LGSW
• Amy White
• Elma L White
• Nancy Diane White
• Shoshana White
• Cheryl Faye Whitfield
• Cherokee Nicole Whitt
• Charlene Wiant
• James Wiehagen
• Jeanie A Wiest, MD

• Athletic Trainer in Buckhannon, WV
• Providers in Buckhannon, WV by specialty
• Athletic Trainer in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.