Active NPI
Noah Underwood, MS, LAT, ATC
- Athletic Trainer
- Wilmington, DE
National Provider Identifier
1396529574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- J3-0010866
- Practice address
- 101 School Rd
Wilmington, DE 19803-4522 - Phone
- (302) 576-2935
- NPI assigned
- Aug 21, 2023
- 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 | J3-0010866 | DE | Primary |
Addresses
Primary practice location
101 School Rd
Wilmington, DE 19803-4522
Mailing address
101 School Rd
Wilmington, DE 19803-4522
Phone (302) 576-2935
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 |
|---|---|---|---|
| J3-0010866 | DE | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692576000000",
"number": "1396529574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 SCHOOL RD",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198034522",
"telephone_number": "302-576-2935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 SCHOOL RD",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198034522",
"telephone_number": "302-576-2935"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UNDERWOOD",
"first_name": "NOAH",
"credential": "MS, LAT, ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-08-21",
"last_updated": "2023-08-21",
"certification_date": "2023-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "DE",
"license": "J3-0010866",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, DE
- Un Paso Adelante, LLC
- Under the Trees PT LLC
- Erik Underhill, M.D.
- Ashley Underwood, CCC-SLP
- Deanna Renee Underwood
- Donald Unger, PHD
- Unicorn Billing LLC
- Union Association of the Children's Home (Legacy Treatment Services Inc)
- Union Association of the Children's Home (Legacy Treatment Services Inc)
- Unioncare Pharmacy LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.