Todd Yamauchi, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

A1 60109166 Issued in WA

Practice address

BLDG 113 71B 22ND St JBLM
Fort Lewis, WA 98433-9843

Phone

(253) 966-1400

NPI assigned

Apr 16, 2015

Last updated

Jan 26, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1429142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674691200000",
    "number": "1104213222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12180 PARK AVE S",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984470001",
            "telephone_number": "253-535-7358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BLDG 113 71B 22ND ST JBLM",
            "city": "FORT LEWIS",
            "state": "WA",
            "postal_code": "984339843",
            "telephone_number": "253-966-1400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12180 Park Ave S",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984470001",
            "country_code": "US",
            "telephone_number": "253-535-7358",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YAMAUCHI",
        "first_name": "TODD",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-16",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "WA",
            "license": "A1 60109166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Claire Thomas, ATC
• Gita Velu, MSW, LICSW, CDP
• Paul Andre Vincent, PA-C
• Keisha Williams
• Melanie Juneq Wood, PA

• Athletic Trainer in Fort Lewis, WA
• Providers in Fort Lewis, WA by specialty
• Athletic Trainer in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; 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.