Active NPI
Scott Collins Trulock, ATC, LAT
- Athletic Trainer
- Jacksonville, FL
National Provider Identifier
1023203908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 1377
- Practice address
- 1 Everbank Field Dr
Jacksonville, FL 32202-1928 - Phone
- (904) 633-6566
- Fax
- (904) 633-6070
- NPI assigned
- Sep 13, 2007
- Sex
- Male
- Sole proprietor
- No
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 | 1377 | NC | Primary |
Addresses
Primary practice location
1 Everbank Field Dr
Jacksonville, FL 32202-1928
Mailing address
1 Everbank Field Dr
Jacksonville, FL 32202-1928
Phone (904) 633-6566
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1377 | NC | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406764800000",
"number": "1023203908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 EVERBANK FIELD DR",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322021928",
"telephone_number": "904-633-6566",
"fax_number": "904-633-6070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 EVERBANK FIELD DR",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322021928",
"telephone_number": "904-633-6566",
"fax_number": "904-633-6070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRULOCK",
"first_name": "SCOTT",
"middle_name": "COLLINS",
"credential": "ATC, LAT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-09-13",
"last_updated": "2014-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NC",
"license": "1377",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.