Active NPI
Joshua Daniel Pierce, ATC, LAT
- Athletic Trainer
- Green Bay, WI
National Provider Identifier
1619359601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 1001
- Practice address
- 1160 Kepler Dr
Green Bay, WI 54311-8321 - Phone
- (920) 288-5400
- NPI assigned
- Jun 25, 2015
- Sex
- Male
- Sole proprietor
- No
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 | 1001 | WI | Primary |
Addresses
Primary practice location
1160 Kepler Dr
Green Bay, WI 54311-8321
Mailing address
1305 Villa Park Cir Apt 2
Green Bay, WI 54302-6116
Phone (920) 342-7689
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1001 | WI | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435190400000",
"number": "1619359601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1305 VILLA PARK CIR APT 2",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543026116",
"telephone_number": "920-342-7689"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1160 KEPLER DR",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543118321",
"telephone_number": "920-288-5400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIERCE",
"first_name": "JOSHUA",
"middle_name": "DANIEL",
"name_prefix": "Mr.",
"credential": "ATC, LAT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-25",
"last_updated": "2015-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "WI",
"license": "1001",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Green Bay, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.