Heather Lynn Wruck-Wells, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

5175 Encelia Dr
Twentynine Palms, CA 92277-1358

Phone

(303) 881-5056

NPI assigned

Jan 2, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Heather Lynn Volmer Former name

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": "1199232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636329600000",
    "number": "1053596601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7014 W HINSDALE DR",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801284814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5175 ENCELIA DR",
            "city": "TWENTYNINE PALMS",
            "state": "CA",
            "postal_code": "922771358",
            "telephone_number": "303-881-5056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRUCK-WELLS",
        "first_name": "HEATHER",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-02",
        "last_updated": "2021-11-08",
        "certification_date": "2021-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "VOLMER",
            "middle_name": "LYNN",
            "credential": "ATC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Antoinette Renee Wilson, LPC
• Tasha Marie Wilson, NP
• Kenneth Wise, MD
• Amy Wootten, CNM
• Kara Michele Wortley, P.A.
• Ryan Victoria Yackel
• Elizabeth Janine Ybarra, MSN, RN, CSN
• Yucca Valley Family Medical Associates, Inc.
• Kelli Zackary, R.N.
• Annabelle Zhou, DMD

• Athletic Trainer in Twentynine Palms, CA
• Providers in Twentynine Palms, CA by specialty
• Athletic Trainer in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2021; 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.