Nicole Elise Budd, MS, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT005612 Issued in OH

Practice address

9095 Holquest Dr
Lewis Center, OH 43035-8424

Phone

(419) 704-8834

NPI assigned

Nov 27, 2017

Last updated

Sep 2, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1511740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599004800000",
    "number": "1144734351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9095 HOLQUEST DR",
            "city": "LEWIS CENTER",
            "state": "OH",
            "postal_code": "430358424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9095 HOLQUEST DR",
            "city": "LEWIS CENTER",
            "state": "OH",
            "postal_code": "430358424",
            "telephone_number": "419-704-8834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUDD",
        "first_name": "NICOLE",
        "middle_name": "ELISE",
        "name_prefix": "Ms.",
        "credential": "MS, ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-27",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "OH",
            "license": "AT005612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hilary Shae Brock, MOT/L
• Annie Brooks
• Margaret Brown, LISW
• Ashley M Brunton, LPCC
• Cheryl Bucci, M.S. CCC-SLP
• Mary Kay Bulmer, LSW, LCDCIII
• Ashley Burrs
• C. Watt Tate O.D. and Associates, Inc.
• Audrey Belle Callahan
• Elizabeth Lynne Campbell-Smit, RN

• Athletic Trainer in Lewis Center, OH
• Providers in Lewis Center, OH by specialty
• Athletic Trainer in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2020; 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.