Ross Clifton Faver, MS, ATC/L, CEAS

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

A160215545 Issued in WA

Practice address

18411 22ND Dr SE
Bothell, WA 98012-6972

Phone

(602) 909-7185

NPI assigned

Jun 24, 2019

Last updated

Jun 24, 2019By the provider in NPPES

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1561334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561334400000",
    "number": "1720649510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18411 22ND DR SE",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980126972",
            "telephone_number": "602-909-7185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18411 22ND DR SE",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980126972",
            "telephone_number": "602-909-7185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAVER",
        "first_name": "ROSS",
        "middle_name": "CLIFTON",
        "credential": "MS, ATC/L, CEAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-24",
        "last_updated": "2019-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "WA",
            "license": "A160215545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Azadeh Fariba, ND
• Alan F Faull
• David Fazio, LMP
• Marina Kathryn Fehr
• Rhona Marlene Feldman, OT
• Shannon Doran Fenster, CN
• Roxanne Oliveros Fernandez, OT

• Athletic Trainer in Bothell, WA
• Providers in Bothell, WA by specialty
• Athletic Trainer in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.