Active NPI
Heidi Marie Zwick, ATC
- Athletic Trainer
- Williamsburg, KY
National Provider Identifier
1730710724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT1643
- Practice address
- 6790 College Station Drive
Williamsburg, KY 40769 - Phone
- (606) 521-9442
- Fax
- (606) 539-4126
- NPI assigned
- Jan 29, 2020
- Sex
- Female
- 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 | AT1643 | KY | Primary |
Addresses
Primary practice location
6790 College Station Drive
Williamsburg, KY 40769
Mailing address
205 Circle Ave Apt 4
Williamsburg, KY 40769-1350
Phone (859) 380-7078
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 |
|---|---|---|---|
| AT1643 | KY | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580256000000",
"number": "1730710724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 CIRCLE AVE APT 4",
"city": "WILLIAMSBURG",
"state": "KY",
"postal_code": "407691350",
"telephone_number": "859-380-7078",
"fax_number": "606-539-4126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6790 COLLEGE STATION DRIVE",
"city": "WILLIAMSBURG",
"state": "KY",
"postal_code": "40769",
"telephone_number": "606-521-9442",
"fax_number": "606-539-4126"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZWICK",
"first_name": "HEIDI",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-29",
"last_updated": "2020-01-29",
"certification_date": "2020-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "KY",
"license": "AT1643",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Williamsburg, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.