Vincent Paul Delvalle, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2601001340 Issued in MI

Practice address

223 Kalamazoo St Ste 106
East Lansing, MI 48824-5400

Phone

(517) 884-7378

Fax

(517) 432-1832

NPI assigned

Apr 23, 2016

Sex

Male

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1461369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592179200000",
    "number": "1245684570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 KALAMAZOO ST STE 106",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488245400",
            "telephone_number": "517-884-7378",
            "fax_number": "517-432-1832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 KALAMAZOO ST STE 106",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488245400",
            "telephone_number": "517-884-7378",
            "fax_number": "517-432-1832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELVALLE",
        "first_name": "VINCENT",
        "middle_name": "PAUL",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-23",
        "last_updated": "2020-06-15",
        "certification_date": "2020-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MI",
            "license": "2601001340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Dehnke
• Hannah Joy Dejong, FNP
• Timothy Delaney, LMT,
• Angela M Delo-Miller, RN
• Jeremy Todd Delong
• Anna Priscilla Dematatis, PH.D.
• Hayley Demay, RPH
• Laurel Olivia Demay
• Caylee Dempsey
• Robin Hazard Demuth, MD

• Athletic Trainer in East Lansing, MI
• Providers in East Lansing, MI by specialty
• Athletic Trainer in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2020; 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.