Active NPI
Van Carrol Whitmire, MHS, ATC, LAT, CSCS
- Athletic Trainer
- Brevard, NC
National Provider Identifier
1033212386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 0283
- Practice address
- 1 Brevard College Drive
Brevard, NC 28712-0000 - Phone
- (828) 884-8346
- Fax
- (828) 884-8269
- NPI assigned
- Sep 5, 2006
- 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 | 0283 | NC | Primary |
Addresses
Primary practice location
1 Brevard College Drive
Brevard, NC 28712-0000
Mailing address
128 Jeter Mountain Rd
Penrose, NC 28766-8771
Phone (828) 862-8221
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 |
|---|---|---|---|
| 0283 | NC | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1033212386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "128 JETER MOUNTAIN RD",
"city": "PENROSE",
"state": "NC",
"postal_code": "287668771",
"telephone_number": "828-862-8221",
"fax_number": "828-884-8269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 BREVARD COLLEGE DRIVE",
"city": "BREVARD",
"state": "NC",
"postal_code": "287120000",
"telephone_number": "828-884-8346",
"fax_number": "828-884-8269"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITMIRE",
"first_name": "VAN",
"middle_name": "CARROL",
"credential": "MHS, ATC, LAT, CSCS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NC",
"license": "0283",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brevard, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.