Active NPI
Gage Weatherfield
- Athletic Trainer
- Fairfield, IL
National Provider Identifier
1275490872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 300 W King St
Fairfield, IL 62837-1710 - Phone
- (618) 842-2649
- NPI assigned
- Jan 6, 2026
- Sex
- Male
- 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 | Primary |
Addresses
Primary practice location
300 W King St
Fairfield, IL 62837-1710
Mailing address
206 E Scott St
Olney, IL 62450-2017
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1767657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767657600000",
"number": "1275490872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "206 E SCOTT ST",
"city": "OLNEY",
"state": "IL",
"postal_code": "624502017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 W KING ST",
"city": "FAIRFIELD",
"state": "IL",
"postal_code": "628371710",
"telephone_number": "618-842-2649"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEATHERFIELD",
"first_name": "GAGE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-01-06",
"last_updated": "2026-01-06",
"certification_date": "2026-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairfield, IL
- Walmart Inc.
- Suzanne M Ward, R.T (R) RDMS RVT
- Way-Fair Nursing and Rehabilitation Center, LLC
- Wayne County Ambulance Service
- WC- Fairfield Ops, LLC (Brookstone Estates of Fairfield)
- Chloe Lane Weaver, MSW
- Carletta Kae Webb, RN
- Stephen Welty, NURSE PRACTITIONER
- Teresa Lee Williams, RN
- Megan Winter, F-NP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.