Active NPI
David Randolph Webster, ATC
- Athletic Trainer
- Eau Claire, WI
National Provider Identifier
1295817757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 70-039
- Practice address
- 1400 Bellinger St.
Eau Claire, WI 54701-1510 - Phone
- (715) 838-6309
- NPI assigned
- Oct 20, 2006
- 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 | 70-039 | WI | Primary |
Addresses
Primary practice location
1400 Bellinger St.
Eau Claire, WI 54701-1510
Mailing address
2911 Northwinds Dr
Eau Claire, WI 54701
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dwebster24154@ehrdirect.mayoclinicmsg.org |
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 |
|---|---|---|---|
| 70-039 | WI | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611705600000",
"number": "1295817757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2911 NORTHWINDS DR",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "54701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 BELLINGER ST.",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "547011510",
"telephone_number": "715-838-6309"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEBSTER",
"first_name": "DAVID",
"middle_name": "RANDOLPH",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-20",
"last_updated": "2021-01-27",
"certification_date": "2021-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "WI",
"license": "70-039",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dwebster24154@ehrdirect.mayoclinicmsg.org",
"affiliation": "N",
"address_1": "1400 Bellinger St.",
"city": "Eau Claire",
"state": "WI",
"country_code": "US",
"postal_code": "547011510",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Eau Claire, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.