Active NPI
Daniel Fletcher, ATC LAT
- Athletic Trainer
- Topeka, KS
National Provider Identifier
1376942946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 529058
- Practice address
- 4136 SE Ridgeview Ter
Topeka, KS 66609-1541 - Phone
- (785) 969-4749
- NPI assigned
- Aug 19, 2014
- 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 | 529058 | KS | Primary |
Addresses
Primary practice location
4136 SE Ridgeview Ter
Topeka, KS 66609-1541
Mailing address
4136 SE Ridgeview Ter
Topeka, KS 66609-1541
Phone (785) 969-4749
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 |
|---|---|---|---|
| 529058 | KS | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408406400000",
"number": "1376942946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4136 SE RIDGEVIEW TER",
"city": "TOPEKA",
"state": "KS",
"postal_code": "666091541",
"telephone_number": "785-969-4749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4136 SE RIDGEVIEW TER",
"city": "TOPEKA",
"state": "KS",
"postal_code": "666091541",
"telephone_number": "785-969-4749"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLETCHER",
"first_name": "DANIEL",
"name_prefix": "Mr.",
"credential": "ATC LAT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-08-19",
"last_updated": "2014-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "KS",
"license": "529058",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Topeka, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.