Active NPI
Abigail Leigh Weber, LAT, ATC, OTC
- Athletic Trainer
- Vero Beach, FL
National Provider Identifier
1427148592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 6142
- Practice address
- 3450 11TH CT Ste 302
Vero Beach, FL 32960-5012 - Phone
- (772) 794-1444
- NPI assigned
- Oct 12, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 090402193 | ||
| Athletic Trainer | 2255A2300X | 1984 | MN | |
| Orthopedic Assistant | 246ZX2200X | 21-0423 | ||
| Athletic Trainer | 2255A2300X | 6142 | FL | Primary |
Addresses
Primary practice location
3450 11TH CT Ste 302
Vero Beach, FL 32960-5012
Mailing address
900 Village Square Xing Ste 170
Palm Beach Gardens, FL 33410-4549
Phone (615) 627-8500
Other names 1
- Miss Abigail Leigh Baud
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 |
|---|---|---|---|
| 6142 | FL | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731974400000",
"number": "1427148592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 VILLAGE SQUARE XING STE 170",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334104549",
"telephone_number": "615-627-8500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3450 11TH CT STE 302",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329605012",
"telephone_number": "772-794-1444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEBER",
"first_name": "ABIGAIL",
"middle_name": "LEIGH",
"name_prefix": "Mrs.",
"credential": "LAT, ATC, OTC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-12",
"last_updated": "2024-11-19",
"certification_date": "2024-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": "090402193",
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MN",
"license": "1984",
"primary": false
},
{
"code": "246ZX2200X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Orthopedic Assistant",
"state": null,
"license": "21-0423",
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "FL",
"license": "6142",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ABIGAIL",
"last_name": "BAUD",
"middle_name": "LEIGH",
"prefix": "MISS",
"credential": "A.T.C.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Vero Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.