Active NPI
Nicholas Wheeler, ATC
- Athletic Trainer
- Lakeland, FL
National Provider Identifier
1215620174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 2301 Lakeland Hills Blvd
Lakeland, FL 33805-2909 - Phone
- (816) 301-2689
- NPI assigned
- May 29, 2023
- Sex
- Male
- 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 | Primary |
Addresses
Primary practice location
2301 Lakeland Hills Blvd
Lakeland, FL 33805-2909
Mailing address
250 Wire Dr Unit 212
Lakeland, FL 33815-4479
Phone (816) 301-2689
Other practice location 1
4500 W River Dr NE
Comstock Park, MI 49321-8566
Phone (816) 301-2689
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": "1685318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764979200000",
"number": "1215620174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 WIRE DR UNIT 212",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338154479",
"telephone_number": "816-301-2689"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2301 LAKELAND HILLS BLVD",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338052909",
"telephone_number": "816-301-2689"
}
],
"practiceLocations": [
{
"address_1": "4500 W River Dr NE",
"address_purpose": "LOCATION",
"city": "Comstock Park",
"state": "MI",
"postal_code": "493218566",
"country_code": "US",
"telephone_number": "816-301-2689",
"fax_number": "816-301-2689",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WHEELER",
"first_name": "NICHOLAS",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-05-29",
"last_updated": "2025-12-06",
"certification_date": "2025-12-06",
"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 Lakeland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.