Olivia Grace Anne Caldwell, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2016026671 Issued in MO

Practice address

5535 Cypress Gardens Blvd Ste 270
Winter Haven, FL 33884-2241

Phone

(863) 401-4401

NPI assigned

Feb 22, 2017

Sex

Female

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Michelle Henne, M.D., P.a.

  • Sports Medicine (Family Medicine) Physician
  • Lakeland, FL
  • NPI 1225564073
  NPD (past)
• Michelle Henne, M.D., P.a.

  • Sports Medicine (Family Medicine) Physician
  • Lakeland, FL
  • NPI 1962938894
  NPD (past)

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

{
    "created_epoch": "1487721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557273600000",
    "number": "1780123877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16449 NELSON PARK DR APT 305",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347145863",
            "telephone_number": "618-727-1235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5535 CYPRESS GARDENS BLVD STE 270",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338842241",
            "telephone_number": "863-401-4401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 University Plz",
            "address_2": "Mailstop 7000",
            "address_purpose": "LOCATION",
            "city": "Cape Girardeau",
            "state": "MO",
            "postal_code": "637014710",
            "country_code": "US",
            "telephone_number": "618-727-1235",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CALDWELL",
        "first_name": "OLIVIA",
        "middle_name": "GRACE ANNE",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-22",
        "last_updated": "2019-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MO",
            "license": "2016026671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• C U Nawada MD PA
• Cab Pharmacy Inc
• Genola Cablish, OT
• Roan Cadavona, ARNP
• James W Caldwell, HIS
• Nan Callan, LMHC
• Hannah Sophia Camacho
• Johnny Camille
• Cheryl L Campbell, ARNP
• Kalen Canady, MS CCC-SLP

• Athletic Trainer in Winter Haven, FL
• Providers in Winter Haven, FL by specialty
• Athletic Trainer in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.