Gerald Douglas Nevitt, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

2900 Hannah Blvd
Suite B-102
East Lansing, MI 48823-5384

Phone

(517) 364-8050

Fax

(517) 364-8045

NPI assigned

Oct 19, 2006

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

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598847964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 MAPLE ST",
            "city": "GRAND LEDGE",
            "state": "MI",
            "postal_code": "488371402",
            "telephone_number": "517-614-8497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 HANNAH BLVD",
            "address_2": "SUITE B-102",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488235384",
            "telephone_number": "517-364-8050",
            "fax_number": "517-364-8045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEVITT",
        "first_name": "GERALD",
        "middle_name": "DOUGLAS",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roxy Talullah Nelson
• Susana Ruth Nelson
• Divyesh Reddy Nemakayala, M.D.
• Aimee Neumann
• Benjamin Knute Neville, B.S.
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• New Horizons Counseling Services PLLC
• Dylan Newcomb
• Elizabeth P Newell
• Kyle Newood

• Athletic Trainer in East Lansing, MI
• Providers in East Lansing, MI by specialty
• Athletic Trainer in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.