Nicholas Wyatt Beightol

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

RT008600 Issued in PA

Practice address

14 Fairview Ave
Clarion, PA 16214-8816

Phone

(814) 319-3776

NPI assigned

Aug 4, 2023

Last updated

Jun 27, 2025By the provider in NPPES

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": "1691107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750982400000",
    "number": "1245912583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 FAIRVIEW AVE",
            "city": "CLARION",
            "state": "PA",
            "postal_code": "162148816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 FAIRVIEW AVE",
            "city": "CLARION",
            "state": "PA",
            "postal_code": "162148816",
            "telephone_number": "814-319-3776"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14 Fairview Ave",
            "address_purpose": "LOCATION",
            "city": "Clarion",
            "state": "PA",
            "postal_code": "162148816",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEIGHTOL",
        "first_name": "NICHOLAS",
        "middle_name": "WYATT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-04",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "PA",
            "license": "RT008600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Kay Beary, D.O.
• Jonathan Robert Beaton
• Alicia Becker, LPC
• Makenzie M Beels, SLP
• Alexandra Beers
• Billy L Bobbert
• Susan Lynn Bobosky, BSN
• Daniel B Bolton
• Susan P Bornak, CRNP
• Kelly L Boyer, BSW

• Athletic Trainer in Clarion, PA
• Providers in Clarion, PA by specialty
• Athletic Trainer in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.