Active NPI
Caitlin O'Neill, ATC, AT/L
- Athletic Trainer
- Seattle, WA
National Provider Identifier
1124406731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- A1 60488561
- Practice address
- 14050 1St Ave NE
Seattle, WA 98125-3025 - Phone
- (206) 440-2705
- NPI assigned
- May 14, 2015
- Last updated
- May 14, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 | A1 60488561 | WA | Primary |
Addresses
Primary practice location
14050 1St Ave NE
Seattle, WA 98125-3025
Mailing address
18319 71St Ave W
Lynnwood, WA 98037-4135
Phone (206) 265-9032
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 |
|---|---|---|---|
| A1 60488561 | WA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431561600000",
"number": "1124406731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18319 71ST AVE W",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980374135",
"telephone_number": "206-265-9032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14050 1ST AVE NE",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981253025",
"telephone_number": "206-440-2705"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'NEILL",
"first_name": "CAITLIN",
"name_prefix": "Miss",
"credential": "ATC, AT/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-05-14",
"last_updated": "2015-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "WA",
"license": "A1 60488561",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.