Valentina Bustamante, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AL3358 Issued in FL

Practice address

1993 Airport Rd
Fairmont, WV 26554-9138

Phone

(305) 609-4315

NPI assigned

Aug 31, 2014

Last updated

Aug 31, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1409443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409443200000",
    "number": "1558761205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 DISTRICT DR",
            "address_2": "APT#2112A",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265052887",
            "telephone_number": "305-609-4315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1993 AIRPORT RD",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265549138",
            "telephone_number": "305-609-4315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSTAMANTE",
        "first_name": "VALENTINA",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-31",
        "last_updated": "2014-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "AL3358",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "WV",
            "license": "AT001272",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jane Burns
• Jason Burns, BA
• Yasmine Burrell
• Charles D Burtner, MD
• Edith Paulette Bush
• William Butler II
• Josetta Byers, BS
• Angela Nicole Bynum
• Robert Joseph Cable, ATC
• Darrius Demetrius Cain

• Athletic Trainer in Fairmont, WV
• Providers in Fairmont, WV by specialty
• Athletic Trainer in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2014; 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.