Individual provider Active NPI

Adam Mark Viet, ATC

  • Athletic Trainer
  • Blacksburg, VA
National Provider Identifier
1447659586
Registry record updated Jan 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
Practice address
160 Jamerson Ctr
Blacksburg, VA 24061
Blacksburg, VA 24061-0001
Phone
(540) 231-6410
NPI assigned
Aug 14, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X Primary

Addresses

Primary practice location

160 Jamerson Ctr
Blacksburg, VA 24061
Blacksburg, VA 24061-0001

Mailing address

243 Flanagan Ave
Dublin, VA 24084-3062
Phone (910) 916-9174

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

NPI Registry JSON

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

{
    "created_epoch": "1407974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516579200000",
    "number": "1447659586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 FLANAGAN AVE",
            "city": "DUBLIN",
            "state": "VA",
            "postal_code": "240843062",
            "telephone_number": "910-916-9174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 JAMERSON CTR",
            "address_2": "BLACKSBURG, VA 24061",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240610001",
            "telephone_number": "540-231-6410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIET",
        "first_name": "ADAM",
        "middle_name": "MARK",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-14",
        "last_updated": "2018-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blacksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.