Nicole Kristen Rendos Speer, PHD, LAT, ATC, CSCS

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

3174 Issued in FL

Practice address

41 S Alcaniz St
Pensacola, FL 32502-6007

Phone

(850) 202-4462

NPI assigned

Feb 18, 2025

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

Other names 1

• Dr. Nicole Kristen Rendos Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1739836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1245035617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 CONNELL DR",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325034262",
            "telephone_number": "845-729-5797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 S ALCANIZ ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325026007",
            "telephone_number": "850-202-4462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENDOS SPEER",
        "first_name": "NICOLE",
        "middle_name": "KRISTEN",
        "name_prefix": "Dr.",
        "credential": "PHD, LAT, ATC, CSCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-18",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "3174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "RENDOS",
            "middle_name": "KRISTEN",
            "prefix": "DR.",
            "credential": "PHD, LAT, ATC, CSCS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Athletic Trainer in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Athletic Trainer in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.

Verify at the official NPI Registry.