Daniel Dahlberg Newell, LAT ,ATC, CSCS

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

070502151 Issued in WA

Practice address

18309 72ND Ave W
Edmonds, WA 98026-5511

Phone

(425) 418-1648

NPI assigned

Apr 1, 2006

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1143849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602201600000",
    "number": "1831150358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18309 72ND AVE W",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980265511",
            "telephone_number": "425-418-1648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18309 72ND AVE W",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980265511",
            "telephone_number": "425-418-1648"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4525 164th St SW",
            "address_2": "D103",
            "address_purpose": "LOCATION",
            "city": "Lynnwood",
            "state": "WA",
            "postal_code": "980878609",
            "country_code": "US",
            "telephone_number": "425-745-3263",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEWELL",
        "first_name": "DANIEL",
        "middle_name": "DAHLBERG",
        "name_prefix": "Mr.",
        "credential": "LAT ,ATC, CSCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-01",
        "last_updated": "2020-10-09",
        "certification_date": "2020-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "WA",
            "license": "070502151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Athletic Trainer in Edmonds, WA
• Providers in Edmonds, WA by specialty
• Athletic Trainer in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.

Verify at the official NPI Registry.