Active NPI
Christopher David Franklin, ATC, AT/L
- Athletic Trainer
- Poulsbo, WA
National Provider Identifier
1366403602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- A160047320
- Practice address
- 1780 NE Hostmark St
Poulsbo, WA 98370-7682 - Phone
- (360) 598-8476
- Fax
- (360) 598-8524
- NPI assigned
- Mar 28, 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 | A160047320 | WA | Primary |
Addresses
Primary practice location
1780 NE Hostmark St
Poulsbo, WA 98370-7682
Mailing address
19752 23Rd Ave NE
Poulsbo, WA 98370-8594
Phone (360) 620-7615
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A160047320 | Other | WA | WASHINGTON STATE DEPARTMENT OF HEALTH ATHLETIC TRAINER LICENSE |
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 |
|---|---|---|---|
| A160047320 | WA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333152000000",
"number": "1366403602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19752 23RD AVE NE",
"city": "POULSBO",
"state": "WA",
"postal_code": "983708594",
"telephone_number": "360-620-7615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1780 NE HOSTMARK ST",
"city": "POULSBO",
"state": "WA",
"postal_code": "983707682",
"telephone_number": "360-598-8476",
"fax_number": "360-598-8524"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRANKLIN",
"first_name": "CHRISTOPHER",
"middle_name": "DAVID",
"name_prefix": "Mr.",
"credential": "ATC, AT/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-28",
"last_updated": "2012-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "WA",
"license": "A160047320",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WASHINGTON STATE DEPARTMENT OF HEALTH ATHLETIC TRAINER LICENSE",
"identifier": "A160047320",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Poulsbo, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.