Davan S Fleming

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

2121 E Emmers Dr
Appleton, WI 54915-3802

Phone

(920) 832-6212

NPI assigned

Feb 14, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1644796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658793600000",
    "number": "1053066597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 COUNTY ROAD QQ APT 14",
            "city": "WAUPACA",
            "state": "WI",
            "postal_code": "549818620",
            "telephone_number": "920-400-2265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 E EMMERS DR",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549153802",
            "telephone_number": "920-832-6212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEMING",
        "first_name": "DAVAN",
        "middle_name": "S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-14",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.uwsp.edu/MSAT",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "self",
            "address_1": "1050 County Road Qq Apt 14",
            "city": "Waupaca",
            "state": "WI",
            "country_code": "US",
            "postal_code": "549818620",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Olivia Fisher
• Kara L Fitzgerald, MS,OTR
• Gina Flanagan-Drewek
• Thomas D Flatley, PT
• Peggy Ann Flease, FNP,APNP
• Jordan Lea Fleming, DPT
• Jean Flesch, RPH
• David Fletcher
• Mary Patricia Flister, CRNA
• Luiza-Irina N Florescu, MD

• Athletic Trainer in Appleton, WI
• Providers in Appleton, WI by specialty
• Athletic Trainer in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.