Active NPI
William Christopher Poole, MS, LAT, ATC
- Athletic Trainer
- Baltimore, MD
National Provider Identifier
1326562109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- A00447
- Practice address
- 333 W Camden St
Baltimore, MD 21201-2496 - Phone
- (301) 775-3029
- NPI assigned
- Aug 2, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | A00447 | MD | Primary |
Addresses
Primary practice location
333 W Camden St
Baltimore, MD 21201-2496
Mailing address
6206 Hopewell Dr
Columbia, MD 21045-5900
Other practice location 1
1090 N Euclid Ave
Sarasota, FL 34237-3013
Phone (301) 775-3029
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A00447 | MD | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1326562109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6206 HOPEWELL DR",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210455900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 W CAMDEN ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212012496",
"telephone_number": "301-775-3029"
}
],
"practiceLocations": [
{
"address_1": "1090 N Euclid Ave",
"address_purpose": "LOCATION",
"city": "Sarasota",
"state": "FL",
"postal_code": "342373013",
"country_code": "US",
"telephone_number": "301-775-3029",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "POOLE",
"first_name": "WILLIAM",
"middle_name": "CHRISTOPHER",
"credential": "MS, LAT, ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-08-02",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MD",
"license": "A00447",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.