Julie M Cavallario, PHD, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

0126000689 Issued in VA

Practice address

2134 A Health Sciences Building Old Dominion University
Norfolk, VA 23529-6435

Phone

(757) 683-4351

NPI assigned

May 23, 2016

Sex

Female

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

• Julie M Whitehead Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1463961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1730536418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6850 AUSTIN CENTER BLVD STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787313184",
            "telephone_number": "512-733-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2134 A HEALTH SCIENCES BUILDING OLD DOMINION UNIVERSITY",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235296435",
            "telephone_number": "757-683-4351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVALLARIO",
        "first_name": "JULIE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PHD, LAT, ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-23",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "VA",
            "license": "0126000689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "WHITEHEAD",
            "middle_name": "M",
            "credential": "ATC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Donna Cattell-Gordon, BCBA
• Perry Caudill, WHNP
• Dean C Cauley, M.D
• Cheryl Genessa Cauthen, MD
• Ruth Francine Cauthen, D.D.S
• Benjamin Cavanaugh, DO
• Kyzwana N Caves, MD
• Amanda Cavness, PHARMD, BCPPS
• Kasey Christina Cavone, CRNA
• Caw Transport

• Athletic Trainer in Norfolk, VA
• Providers in Norfolk, 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 25, 2022; 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.