Danielle L Vailes, MED, ATC, LAT, CES

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AL3337 Issued in FL

Practice address

2800 University Blvd N
Jacksonville, FL 32211-3321

Phone

(518) 813-0711

NPI assigned

Sep 18, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Danielle L Chesnut Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

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

{
    "created_epoch": "1347926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613520000000",
    "number": "1124378070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7385 PARK VILLAGE DR APT 2405",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322568025",
            "telephone_number": "518-813-0711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 UNIVERSITY BLVD N",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322113321",
            "telephone_number": "518-813-0711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAILES",
        "first_name": "DANIELLE",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "MED, ATC, LAT, CES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-18",
        "last_updated": "2021-02-17",
        "certification_date": "2021-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "GA",
            "license": "AT001913",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "AL",
            "license": "1344",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "AL3337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIELLE",
            "last_name": "CHESNUT",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Pardis Vafaii
• Sonia Vaid
• Nathan Lee Vail, LCSW
• Robin Smith Vail, PH.D.
• Marydee Lynn Vaile, D.C.
• Vita Vairogs, MD
• Sreeramulu Reddy Vaka, M. D.
• Susmitha Vaka, M.D.
• Vakil Therapeutic Services
• Purvi P Vakil, PT

• Athletic Trainer in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Athletic Trainer in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.