Haley Wyatt, ATC, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2784 Issued in TN

Practice address

1518 Brown Ave
Jefferson City, TN 37760-1807

Phone

(740) 319-4100

NPI assigned

Apr 6, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1617667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670630400000",
    "number": "1477132462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1518 BROWN AVE",
            "city": "JEFFERSON CITY",
            "state": "TN",
            "postal_code": "377601807",
            "telephone_number": "740-319-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1518 BROWN AVE",
            "city": "JEFFERSON CITY",
            "state": "TN",
            "postal_code": "377601807",
            "telephone_number": "740-319-4100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2012 Plaza Ct",
            "address_purpose": "LOCATION",
            "city": "Saint Charles",
            "state": "MO",
            "postal_code": "633032746",
            "country_code": "US",
            "telephone_number": "740-319-4100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WYATT",
        "first_name": "HALEY",
        "credential": "ATC, LAT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-06",
        "last_updated": "2022-12-10",
        "certification_date": "2022-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TN",
            "license": "2784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nvatrainer@sevier.org",
            "affiliation": "N",
            "endpointDescription": "work email",
            "address_1": "1518 Brown Ave",
            "city": "Jefferson City",
            "state": "TN",
            "country_code": "US",
            "postal_code": "377601807",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sarah Emily Williamson
• Angela Winkler, FNP
• Deana Campbell Winstead, RN
• Anna Schwalb Woods, MS, CCC-A
• Clyde W Worley, M.D.
• Tanner Colin Yankey, LPC-MHSP
• Christina Yarbrough
• Rachel Young

• Athletic Trainer in Jefferson City, TN
• Providers in Jefferson City, TN by specialty
• Athletic Trainer in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2022; 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.