Active NPI
Carmilla Wheeler, FITNESS TRAINER
- Athletic Trainer
- Fort Washington, MD
National Provider Identifier
1013433069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 12515 Langner Drive
Fort Washington, MD 20744 - Phone
- (240) 779-1622
- NPI assigned
- Aug 21, 2017
- 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | Primary |
Addresses
Primary practice location
12515 Langner Drive
Fort Washington, MD 20744
Mailing address
12515 Langner Drive
Fort Washington, MD 20744
Phone (202) 253-7539
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013433069 | Medicaid | DC |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522281600000",
"number": "1013433069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12515 LANGNER DRIVE",
"city": "FORT WASHINGTON",
"state": "MD",
"postal_code": "20744",
"telephone_number": "202-253-7539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12515 LANGNER DRIVE",
"city": "FORT WASHINGTON",
"state": "MD",
"postal_code": "20744",
"telephone_number": "240-779-1622"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHEELER",
"first_name": "CARMILLA",
"credential": "FITNESS TRAINER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-08-21",
"last_updated": "2018-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1013433069",
"state": "DC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fort Washington, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.