David Haverly, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

002717-1 Issued in NY

Practice address

56 Duplainville Rd
Saratoga Springs, NY 12866-9020

Phone

(518) 581-4126

NPI assigned

Nov 19, 2014

Sex

Male

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

• Dave Haverly Other name

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": "1416355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694736000000",
    "number": "1265839294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 DUPLAINVILLE RD",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128669020",
            "telephone_number": "518-581-4126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 DUPLAINVILLE RD",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128669020",
            "telephone_number": "518-581-4126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAVERLY",
        "first_name": "DAVID",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-11-19",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NY",
            "license": "002717-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAVE",
            "last_name": "HAVERLY",
            "credential": "ATC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Devin S Harrison
• Joelle Hartshorne
• Mujtaba Ali Hasnain, M.D.
• Samantha Hassan
• Colleen Haverly, RN
• Johnna Lynn Hawes, LISW-CP, LCSW
• Sandra Lynn Hawkins, M.ED., M.S.
• Joseph Robert Hayes Jr., MD
• Talara Hedgpeth, NP
• Morgan Lucy Hems, MHC-LIMITED PERMIT

• Athletic Trainer in Saratoga Springs, NY
• Providers in Saratoga Springs, NY by specialty
• Athletic Trainer in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2023; 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.