Active NPI
Shawn Babich
- Athletic Trainer
- Williston, VT
National Provider Identifier
1588318935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 289 Hurricane LN
Williston, VT 05495-2092 - Phone
- (802) 655-7575
- NPI assigned
- Feb 4, 2022
- Last updated
- Sep 25, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | NU | Primary |
Addresses
Primary practice location
289 Hurricane LN
Williston, VT 05495-2092
Mailing address
36 Grant St
Burlington, VT 05401-3762
Phone (973) 934-1432
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": "1643932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695600000000",
"number": "1588318935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36 GRANT ST",
"city": "BURLINGTON",
"state": "VT",
"postal_code": "054013762",
"telephone_number": "973-934-1432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "289 HURRICANE LN",
"city": "WILLISTON",
"state": "VT",
"postal_code": "054952092",
"telephone_number": "802-655-7575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BABICH",
"first_name": "SHAWN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-02-04",
"last_updated": "2023-09-25",
"certification_date": "2023-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Williston, VT
- Victoria A Ard, PT, DPT, MPH, ATC, C
- Brian Kelly Ashley, MA
- Associates in Physical and Occupational Therapy
- Augmentative Learning and Movement Center, LLC (Vermont Behavioral Medicine)
- Nilay Ayaz, BDS, MSD
- Molly Backup, PA
- Casey Baczewski, PT
- Kennedy Marisa Baggott
- Balanced Wellbeing Nationwide PA
- Sheila Catherine Bannister, RDH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.