Active NPI
James David Pletsch, ATC
- Athletic Trainer
- Fayetteville, AR
National Provider Identifier
1366016776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 1748 N Whistling Straits Ave Apt 301
Fayetteville, AR 72704-6686 - Phone
- (217) 622-9456
- NPI assigned
- May 19, 2021
- Last updated
- May 19, 2021
- 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 | NU | Primary |
Addresses
Primary practice location
1748 N Whistling Straits Ave Apt 301
Fayetteville, AR 72704-6686
Mailing address
1748 N Whistling Straits Ave Apt 301
Fayetteville, AR 72704-6686
Phone (217) 622-9456
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | FAYETTEVILLE |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621382400000",
"number": "1366016776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1748 N WHISTLING STRAITS AVE APT 301",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727046686",
"telephone_number": "217-622-9456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1748 N WHISTLING STRAITS AVE APT 301",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727046686",
"telephone_number": "217-622-9456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLETSCH",
"first_name": "JAMES",
"middle_name": "DAVID",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-05-19",
"last_updated": "2021-05-19",
"certification_date": "2021-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "FAYETTEVILLE",
"affiliation": "N",
"address_1": "1748 N Whistling Straits Ave Apt 301",
"city": "Fayetteville",
"state": "AR",
"country_code": "US",
"postal_code": "727046686",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fayetteville, AR
- Melissa Daily Pitts, LPC
- Andrea Nichole Placzek, M.D.
- Planned Parenthood of Arkansas and Eastern Oklahoma, Inc.
- Brian Christopher Platt, D.D.S.
- Jason H Pleimann, M.D.
- Amy Lee Plunkett, DNP, APN
- Pluto Care Limited Liability Company
- Lauren Kristine Poindexter, M.D.
- Point Momentum, P.L.L.C.
- Joanna Gayle Pointer, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.