Active NPI
Zachary Williams, LAT, ATC, OTC
- Athletic Trainer
- Chapel Hill, NC
National Provider Identifier
1285157560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- LAT-4742
- Practice address
- 102 Mason Farm Rd
Chapel Hill, NC 27514-4617 - Phone
- (984) 974-5700
- NPI assigned
- Jul 19, 2017
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Athletic Trainer | 2255A2300X | 2000033217 | CA | |
| Athletic Trainer | 2255A2300X | LAT-4742 | NC | Primary |
Addresses
Primary practice location
102 Mason Farm Rd
Chapel Hill, NC 27514-4617
Mailing address
102 Mason Farm Rd
Chapel Hill, NC 27514-4617
Other practice location 1
3900 Lomaland Drive
San Diego, CA 92106
Phone (505) 280-2426
Other practice location 2
4910 Directors Pl
San Diego, CA 92121
Phone (858) 571-9500
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2000033217 | CA | MD | Athletic Trainer |
| LAT-4742 | NC | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scripps Health | Current | Accepting new patients |
Interoperability endpoints
- zwilliams286582@scrippshlth.medalliesdirect.net
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1487928891
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1285157560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 MASON FARM RD",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275144617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 MASON FARM RD",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275144617",
"telephone_number": "984-974-5700"
}
],
"practiceLocations": [
{
"address_1": "3900 Lomaland Drive",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "92106",
"country_code": "US",
"telephone_number": "505-280-2426",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4910 Directors Pl",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "92121",
"country_code": "US",
"telephone_number": "858-571-9500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILLIAMS",
"first_name": "ZACHARY",
"name_prefix": "Mr.",
"credential": "LAT, ATC, OTC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-07-19",
"last_updated": "2022-07-21",
"certification_date": "2021-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "CA",
"license": "2000033217",
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NC",
"license": "LAT-4742",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chapel Hill, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.