David Quammen, MSED, ATC, CSCS

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

8767305-4810 Issued in UT

Practice address

1 Victory LN # 100
Park City, UT 84060-7463

Phone

(435) 602-2672

NPI assigned

Sep 9, 2016

Sex

Male

Sole proprietor

Yes

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": "1473379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473379200000",
    "number": "1508313289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 980356",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840980356",
            "telephone_number": "435-602-2672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 VICTORY LN # 100",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840607463",
            "telephone_number": "435-602-2672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUAMMEN",
        "first_name": "DAVID",
        "credential": "MSED, ATC, CSCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-09-09",
        "last_updated": "2016-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "UT",
            "license": "8767305-4810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam Procino
• Karen Joan Procino, PT
• Proform Athletics, LLC
• William Province III, MD
• Ashley Quadros, RDN
• Janalee Quilter
• Tracey F Radovan, PT
• Richard Rainville
• Katy Marie Ramsay, PHARM D
• Shannon Ranney, MD

• Athletic Trainer in Park City, UT
• Providers in Park City, UT by specialty
• Athletic Trainer in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2016; 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.