Active NPI
Wayne Barger, ATC
- Athletic Trainer
- Durango, CO
National Provider Identifier
1346650520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT-667
- Practice address
- 1000 Rim Dr
Fort Lewis College Athletics
Durango, CO 81301-3911 - Phone
- (970) 247-7576
- Fax
- (970) 247-7568
- NPI assigned
- Apr 28, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 | AT-667 | CO | Primary |
Addresses
Primary practice location
1000 Rim Dr
Fort Lewis College Athletics
Durango, CO 81301-3911
Mailing address
1000 Rim Dr
Fort Lewis College Athletics
Durango, CO 81301-3911
Phone (970) 247-7576
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 |
|---|---|---|---|
| AT-667 | CO | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398643200000",
"number": "1346650520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 RIM DR",
"address_2": "FORT LEWIS COLLEGE ATHLETICS",
"city": "DURANGO",
"state": "CO",
"postal_code": "813013911",
"telephone_number": "970-247-7576",
"fax_number": "970-247-7568"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 RIM DR",
"address_2": "FORT LEWIS COLLEGE ATHLETICS",
"city": "DURANGO",
"state": "CO",
"postal_code": "813013911",
"telephone_number": "970-247-7576",
"fax_number": "970-247-7568"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARGER",
"first_name": "WAYNE",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-04-28",
"last_updated": "2014-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "CO",
"license": "AT-667",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Durango, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.