Active NPI
Nicholas James Flynn, A.T.C.
- Athletic Trainer
- Port Charlotte, FL
National Provider Identifier
1164734893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 2300 El Jobean Rd
Port Charlotte, FL 33948-1120 - Phone
- (727) 808-3814
- NPI assigned
- Jul 10, 2010
- Sex
- Male
- 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 | Primary |
Addresses
Primary practice location
2300 El Jobean Rd
Port Charlotte, FL 33948-1120
Mailing address
2300 El Jobean Rd
Port Charlotte, FL 33948-1120
Phone (727) 808-3814
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384992000000",
"number": "1164734893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2300 EL JOBEAN RD",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "339481120",
"telephone_number": "727-808-3814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 EL JOBEAN RD",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "339481120",
"telephone_number": "727-808-3814"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLYNN",
"first_name": "NICHOLAS",
"middle_name": "JAMES",
"credential": "A.T.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-07-10",
"last_updated": "2013-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Charlotte, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.