Active NPI
Staci McWilliams, LAT, ATC
- Athletic Trainer
- Hendersonville, NC
National Provider Identifier
1245088137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- LAT-4626
- Practice address
- 59 Thornberry Rd
Hendersonville, NC 28792-0655 - Phone
- (256) 288-6345
- NPI assigned
- May 7, 2024
- 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 | LAT-4626 | NC | Primary |
Addresses
Primary practice location
59 Thornberry Rd
Hendersonville, NC 28792-0655
Mailing address
59 Thornberry Rd
Hendersonville, NC 28792-0655
Phone (256) 288-6345
Other practice location 1
3334 Boylston Hwy
Suite 20
Mills River, NC 28759
Phone (256) 288-6345
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
| License | State | Type | Specialty |
|---|---|---|---|
| LAT-4626 | NC | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715040000000",
"number": "1245088137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "59 THORNBERRY RD",
"city": "HENDERSONVILLE",
"state": "NC",
"postal_code": "287920655",
"telephone_number": "256-288-6345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "59 THORNBERRY RD",
"city": "HENDERSONVILLE",
"state": "NC",
"postal_code": "287920655",
"telephone_number": "256-288-6345"
}
],
"practiceLocations": [
{
"address_1": "3334 Boylston Hwy",
"address_2": "Suite 20",
"address_purpose": "LOCATION",
"city": "Mills River",
"state": "NC",
"postal_code": "28759",
"country_code": "US",
"telephone_number": "256-288-6345",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCWILLIAMS",
"first_name": "STACI",
"credential": "LAT, ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-07",
"last_updated": "2024-05-07",
"certification_date": "2024-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NC",
"license": "LAT-4626",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hendersonville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.