Individual provider Active NPI

Diarmuid Christie, ATC, LAT

  • Athletic Trainer
  • West Lafayette, IN
National Provider Identifier
1194389064
Registry record updated Apr 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
36003120A Issued in IN
Practice address
355 N Martin Jischke Dr
West Lafayette, IN 47907-2030
Phone
(765) 494-9622
NPI assigned
Apr 26, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 36003120A IN Primary

Addresses

Primary practice location

355 N Martin Jischke Dr
West Lafayette, IN 47907-2030

Mailing address

3318 Peppermill Dr
West Lafayette, IN 47906-1078
Phone (765) 337-0344

Other practice location 1

900 John Wooden Drive
Room B198
West Lafayette, IN 47906
Phone (765) 494-3245

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

LicenseStateTypeSpecialty
36003120AINMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Purdue University Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1556236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556236800000",
    "number": "1194389064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3318 PEPPERMILL DR",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "479061078",
            "telephone_number": "765-337-0344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 N MARTIN JISCHKE DR",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "479072030",
            "telephone_number": "765-494-9622"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 John Wooden Drive",
            "address_2": "Room B198",
            "address_purpose": "LOCATION",
            "city": "West Lafayette",
            "state": "IN",
            "postal_code": "47906",
            "country_code": "US",
            "telephone_number": "765-494-3245",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHRISTIE",
        "first_name": "DIARMUID",
        "name_prefix": "Mr.",
        "credential": "ATC, LAT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-26",
        "last_updated": "2019-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IN",
            "license": "36003120A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Lafayette, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2019; 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.