Sean Talmon Newcomb, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT-887 Issued in ID

Practice address

901 N Curtis Rd Ste 204
Boise, ID 83706-1340

Phone

(509) 200-0582

NPI assigned

Feb 27, 2024

Last updated

Feb 27, 2024By the provider in NPPES

Sex

Male

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": "1708992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1417713348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6240 E MEDALIST LN APT 202",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836875402",
            "telephone_number": "509-200-0582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 N CURTIS RD STE 204",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837061340",
            "telephone_number": "509-200-0582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWCOMB",
        "first_name": "SEAN",
        "middle_name": "TALMON",
        "credential": "LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-27",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "ID",
            "license": "AT-887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daryl New
• Cara Newberry, RN
• Bruce E Newcomb, DDS
• Cailen Mae Newcomb, LMT
• Connor David Newcomb, MS
• Jillian Reese Newell
• Kandice Rene Newkirk, CASE MANAGER
• Karen Kristine Newkirk, LCPC
• Annie L Newman, LCSW
• Jesse Dale Newman, PTA

• Athletic Trainer in Boise, ID
• Providers in Boise, ID by specialty
• Athletic Trainer in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; 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.