Nathan Davidsen, ATC, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

36003172A Issued in IN

Practice address

220 Lakeview Dr
Noblesville, IN 46060-1210

Phone

(317) 776-1061

NPI assigned

Jan 7, 2017

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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hamilton County Chiropractic

  dba Midwest Sport and Spine Center

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Noblesville, IN
  • NPI 1285797746
  NPD

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

{
    "created_epoch": "1483747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563840000000",
    "number": "1609312123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9152 HADWAY DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462561068",
            "telephone_number": "317-605-0078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 LAKEVIEW DR",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460601210",
            "telephone_number": "317-776-1061"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9152 Hadway Dr",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462561068",
            "country_code": "US",
            "telephone_number": "317-605-0078",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIDSEN",
        "first_name": "NATHAN",
        "credential": "ATC, LAT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-01-07",
        "last_updated": "2019-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IN",
            "license": "36003172A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke Dale
• Matthew Peter Daleo, LCSW
• Jillian Dani, LMSW
• Jacob Danks, PHARMD
• David R. Mosser, DDS, LLC
• Jacqueline Ann Davidson, REGISTERD NURSE
• Breana Davis, BCBA
• Henry Jeffrey Davis, PHD
• James R Davis, MD
• Lauren Ann Davis, PA

• Athletic Trainer in Noblesville, IN
• Providers in Noblesville, IN by specialty
• Athletic Trainer in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2019; 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.