Active NPI
William Robert Everett, LATC
- Athletic Trainer
- Newton, MA
National Provider Identifier
1073543591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 1416
- Practice address
- 785 Centre St
Newton Country Day School
Newton, MA 02458-2523 - Phone
- (617) 559-4820
- NPI assigned
- Jul 3, 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 | 1416 | MA | Primary |
Addresses
Primary practice location
785 Centre St
Newton Country Day School
Newton, MA 02458-2523
Mailing address
53 Aberdeen Rd
Quincy, MA 02171-1314
Phone (617) 283-2892
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 |
|---|---|---|---|
| 1416 | MA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300752000000",
"number": "1073543591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "53 ABERDEEN RD",
"city": "QUINCY",
"state": "MA",
"postal_code": "021711314",
"telephone_number": "617-283-2892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "785 CENTRE ST",
"address_2": "NEWTON COUNTRY DAY SCHOOL",
"city": "NEWTON",
"state": "MA",
"postal_code": "024582523",
"telephone_number": "617-559-4820"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVERETT",
"first_name": "WILLIAM",
"middle_name": "ROBERT",
"name_prefix": "Mr.",
"credential": "LATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-03",
"last_updated": "2011-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MA",
"license": "1416",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.