Christopher L. Vigneault, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

RT003847 Issued in PA

Practice address

1570 Baltimore Pike
Office of Sports Medicine
Lincoln University, PA 19352

Phone

(484) 365-7343

Fax

(484) 365-7614

NPI assigned

Apr 26, 2007

Last updated

May 8, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

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": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399507200000",
    "number": "1275753931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 GUILFORD PL",
            "city": "BURLINGTON",
            "state": "NJ",
            "postal_code": "080164186",
            "telephone_number": "609-661-0405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1570 BALTIMORE PIKE",
            "address_2": "OFFICE OF SPORTS MEDICINE",
            "city": "LINCOLN UNIVERSITY",
            "state": "PA",
            "postal_code": "19352",
            "telephone_number": "484-365-7343",
            "fax_number": "484-365-7614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIGNEAULT",
        "first_name": "CHRISTOPHER",
        "middle_name": "L.",
        "name_prefix": "Mr.",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-26",
        "last_updated": "2014-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "PA",
            "license": "RT003847",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NJ",
            "license": "25MT00123900",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacquelin A Silcox, LCSW
• Sofia Szanto, MS, RD, LDN
• Maura Thornton, OTD, OTR/L
• Dayana Torres Nieto, OTD, OTR/L
• Lotanna Claire Udoye
• Heather Morgan Wolfe, MS, ATC
• Michelle Young, BS

• Athletic Trainer in Lincoln University, PA
• Providers in Lincoln University, PA by specialty
• Athletic Trainer in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.