Individual provider Active NPI

Nathan Richard Weiler, ATC, LAT

  • Athletic Trainer
  • Stevens Point, WI
National Provider Identifier
1295722585
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
385039 Issued in WI
Practice address
2050 4TH Ave
Stevens Point, WI 54481-1910
Phone
(715) 346-4772
Fax
(715) 295-8938
NPI assigned
Sep 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 385039 WI Primary

Addresses

Primary practice location

2050 4TH Ave
Stevens Point, WI 54481-1910

Mailing address

8883 Hetze Rd
Milladore, WI 54454-9709
Phone (715) 457-4721

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

LicenseStateTypeSpecialty
385039WIMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
University of Wisconsin System Non Payroll Past Accepting new patients

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295722585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8883 HETZE RD",
            "city": "MILLADORE",
            "state": "WI",
            "postal_code": "544549709",
            "telephone_number": "715-457-4721",
            "fax_number": "715-295-8938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 4TH AVE",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544811910",
            "telephone_number": "715-346-4772",
            "fax_number": "715-295-8938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEILER",
        "first_name": "NATHAN",
        "middle_name": "RICHARD",
        "name_prefix": "Mr.",
        "credential": "ATC, LAT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "WI",
            "license": "385039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stevens Point, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.