Richard Stewart, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

3401 Panther Pride Dr
Dumfries, VA 22026-2184

Phone

(571) 238-0944

NPI assigned

Aug 19, 2016

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

Other names 1

• Rick Stewart Other name

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": "1471564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471564800000",
    "number": "1639624679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 686",
            "city": "DUMFRIES",
            "state": "VA",
            "postal_code": "220260686",
            "telephone_number": "571-264-5214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 PANTHER PRIDE DR",
            "city": "DUMFRIES",
            "state": "VA",
            "postal_code": "220262184",
            "telephone_number": "571-238-0944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "RICHARD",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-19",
        "last_updated": "2016-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RICK",
            "last_name": "STEWART",
            "credential": "ATC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Reagan Stallings
• Christine Anne Stapleton, NP
• Stat Professional Services, LLC
• James Stewart, RBT
• Julianne S Stewart
• Miranda Lynn Stoddard
• Strengthinculture PLLC
• Hilary J Sullivan
• Usha Sundaram, M.D.
• Sunseeds Counseling, LLC

• Athletic Trainer in Dumfries, VA
• Providers in Dumfries, VA by specialty
• Athletic Trainer in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2016; 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.