Nathan A Vanraden, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

096.002607 Issued in IL

Practice address

5700 College Rd
Lisle, IL 60532-0900

Phone

(630) 829-6154

Fax

(630) 839-3696

NPI assigned

Nov 4, 2010

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": "1288828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546819200000",
    "number": "1467753574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14421 W MELBOURNE PL",
            "city": "LOCKPORT",
            "state": "IL",
            "postal_code": "604416016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 COLLEGE RD",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605320900",
            "telephone_number": "630-829-6154",
            "fax_number": "630-839-3696"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17837 80th Ave",
            "address_purpose": "LOCATION",
            "city": "Tinley Park",
            "state": "IL",
            "postal_code": "604775023",
            "country_code": "US",
            "telephone_number": "708-342-2500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANRADEN",
        "first_name": "NATHAN",
        "middle_name": "A",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-11-04",
        "last_updated": "2019-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IL",
            "license": "096.002607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie D. Van, D.O.
• Matthew Scott Vanbeek, DDS
• Darcie Vance
• Samantha Vanderplow, LCSW
• Jeffrey Brian Vanmeter, PSYD
• Sobhana Vasan, DAC
• Vaxmed LLC
• Rachel Suzanne Verner, PT
• Vitacare Health Services, Inc.
• Julia Volm, OTR/L

• Athletic Trainer in Lisle, IL
• Providers in Lisle, IL by specialty
• Athletic Trainer in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2019; 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.