Individual provider Active NPI

Adam Wesche, ATC, LAT

  • Athletic Trainer
  • Orlando, FL
National Provider Identifier
1811458607
Registry record updated Mar 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
AL4249 Issued in FL
Practice address
4180 N Orion Blvd
Orlando, FL 32816-8029
Phone
(407) 823-4303
Fax
(407) 823-6744
NPI assigned
Mar 26, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X AL4249 FL Primary

Addresses

Primary practice location

4180 N Orion Blvd
Orlando, FL 32816-8029

Mailing address

2530 Lancien CT
Orlando, FL 32826-3916
Phone (252) 469-0771

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address awesche@athletics.ucf.edu Health Information Exchange (HIE)

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

LicenseStateTypeSpecialty
AL4249FLMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1553558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553558400000",
    "number": "1811458607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2530 LANCIEN CT",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328263916",
            "telephone_number": "252-469-0771",
            "fax_number": "407-823-6744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4180 N ORION BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328168029",
            "telephone_number": "407-823-4303",
            "fax_number": "407-823-6744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESCHE",
        "first_name": "ADAM",
        "credential": "ATC, LAT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-26",
        "last_updated": "2019-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "AL4249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "awesche@athletics.ucf.edu",
            "affiliation": "N",
            "endpointDescription": "employment email address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4180 N Orion Blvd",
            "city": "Orlando",
            "state": "FL",
            "country_code": "US",
            "postal_code": "328168029",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.