Active NPI
Caitlin O'Connor, MS, LAT, ATC
- Athletic Trainer
- Garner, NC
National Provider Identifier
1164964359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 1349
- Practice address
- 974 Vandora Springs Rd
Garner, NC 27529-3544 - Phone
- (919) 779-6540
- NPI assigned
- Nov 5, 2016
- Sex
- Female
- Sole proprietor
- No
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 | 1349 | NC | Primary |
Addresses
Primary practice location
974 Vandora Springs Rd
Garner, NC 27529-3544
Mailing address
862 Cupola Dr
Raleigh, NC 27603-3444
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1349 | NC | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478304000000",
"number": "1164964359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "862 CUPOLA DR",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276033444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "974 VANDORA SPRINGS RD",
"city": "GARNER",
"state": "NC",
"postal_code": "275293544",
"telephone_number": "919-779-6540"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'CONNOR",
"first_name": "CAITLIN",
"credential": "MS, LAT, ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-05",
"last_updated": "2016-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NC",
"license": "1349",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Garner, NC
- North Carolina CVS Pharmacy LLC
- North Carolina CVS Pharmacy LLC
- North Carolina Sleep Apnea LLC
- North Pointe Assisted Living of Garner, LLC
- Now Were Talking Pediatric Therapy,Inc.
- Carol O'Hare-Cook, MS-CCC/SLP
- Margery Scott O'Herron, PA-C
- Shannon R O'Neal, MA, LPC
- Jessica Fahrbach O'Neill, D.O
- Oak Health Care Investors of North Carolina, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.