Active NPI
Trevor Franklin Merritt, ATC
- Athletic Trainer
- Renton, WA
National Provider Identifier
1801369368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 12 Seahawks Way
Renton, WA 98056-1572 - Phone
- (253) 303-2748
- NPI assigned
- Jan 8, 2019
- Sex
- Male
- 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 | Primary |
Addresses
Primary practice location
12 Seahawks Way
Renton, WA 98056-1572
Mailing address
4407 183Rd Ave E
Lake Tapps, WA 98391-6728
Phone (253) 303-2748
Other practice location 1
240 S Cheney Spangle Rd Apt 245B
Cheney, WA 99004-5138
Phone (253) 303-2748
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594080000000",
"number": "1801369368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4407 183RD AVE E",
"city": "LAKE TAPPS",
"state": "WA",
"postal_code": "983916728",
"telephone_number": "253-303-2748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 SEAHAWKS WAY",
"city": "RENTON",
"state": "WA",
"postal_code": "980561572",
"telephone_number": "253-303-2748"
}
],
"practiceLocations": [
{
"address_1": "240 S Cheney Spangle Rd Apt 245B",
"address_purpose": "LOCATION",
"city": "Cheney",
"state": "WA",
"postal_code": "990045138",
"country_code": "US",
"telephone_number": "253-303-2748",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MERRITT",
"first_name": "TREVOR",
"middle_name": "FRANKLIN",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-01-08",
"last_updated": "2020-07-07",
"certification_date": "2020-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Renton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.