Charlene Wichman

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

6045 S Ridgeline Dr
Apt. K201
South Ogden, UT 84405-6978

Phone

(330) 671-1242

NPI assigned

Nov 16, 2014

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1416096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416096000000",
    "number": "1245636463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6045 S RIDGELINE DR",
            "address_2": "APT. K201",
            "city": "SOUTH OGDEN",
            "state": "UT",
            "postal_code": "844056978",
            "telephone_number": "330-671-1242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6045 S RIDGELINE DR",
            "address_2": "APT. K201",
            "city": "SOUTH OGDEN",
            "state": "UT",
            "postal_code": "844056978",
            "telephone_number": "330-671-1242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WICHMAN",
        "first_name": "CHARLENE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-16",
        "last_updated": "2014-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy J Whitaker, D.P.T.
• Jaydon Whitcomb, RBT
• Kevin Kyle White, CMHC
• Roy White, RPH
• Nickolas Whitesides
• Korryn Wiese, P.T., C.M.P.T.
• Willard Z Maughan M.D. P.C.
• Sianeh Williams-Geddings, RBT
• Michael Williams, RBT
• Cameran Rachelle Wilson, FNP-C

• Athletic Trainer in South Ogden, UT
• Providers in South Ogden, UT by specialty
• Athletic Trainer in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2014; 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.