Dawn Theresa Selvidge, M.S., A.T.C., L.A.T.

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AL 2512 Issued in FL

Practice address

1247 NE 167TH St
Attention: Dawn Selvidge (Athletic Trainer)
Miami, FL 33162-2723

Phone

(786) 525-0362

Fax

(305) 949-0491

NPI assigned

Dec 9, 2009

Last updated

Dec 9, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1260316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260316800000",
    "number": "1407185176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1247 NE 167TH ST",
            "address_2": "ATTENTION: DAWN SELVIDGE (ATHLETIC TRAINER)",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331622723",
            "telephone_number": "786-525-0362",
            "fax_number": "305-949-0491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1247 NE 167TH ST",
            "address_2": "ATTENTION: DAWN SELVIDGE (ATHLETIC TRAINER)",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331622723",
            "telephone_number": "786-525-0362",
            "fax_number": "305-949-0491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELVIDGE",
        "first_name": "DAWN",
        "middle_name": "THERESA",
        "name_prefix": "Ms.",
        "credential": "M.S., A.T.C., L.A.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-09",
        "last_updated": "2009-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "AL 2512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Michael Sellers, RN
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• Joanna Sells, PHD
• Yacqueline Selva Legra, FNP
• Gennaro Selvaggi, MD
• Walid Semaan, MD
• Karentha Semancie
• Semchudes Inc
• Isabel Aurora Semidey, LMHC
• Katherine Jean Semidey, M.D.

• Athletic Trainer in Miami, FL
• Providers in Miami, FL by specialty
• Athletic Trainer in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.