Allison Hetrick, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT001097 Issued in WV

Practice address

375 Birch St
Morgantown, WV 26505-3418

Phone

(304) 293-0865

NPI assigned

Aug 19, 2018

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

State licenses

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

{
    "created_epoch": "1534636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534636800000",
    "number": "1417437401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6116",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265066116",
            "telephone_number": "304-293-0865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 BIRCH ST",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265053418",
            "telephone_number": "304-293-0865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HETRICK",
        "first_name": "ALLISON",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-19",
        "last_updated": "2018-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "WV",
            "license": "AT001097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Jean Hess, ABO
• Mary H Hess, PA-C
• Dayne Hester, MD
• Stacy Anne Hester, RPH
• Sylvia Jane Heston, CFNP
• Kody Heubach, DO
• Trista S Hewitt-Lantz, LMT
• Noah Hewitt
• HHP Internal Medicine Associates PLLC
• Kathy Hibbs, RPH

• Athletic Trainer in Morgantown, WV
• Providers in Morgantown, WV by specialty
• Athletic Trainer in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2018; 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.