Individual provider Active NPI

James Matthew Nave, ATC

  • Athletic Trainer
  • Terre Haute, IN
National Provider Identifier
1831168822
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
36001335A Issued in IN
Practice address
5500 Wabash Ave
CM 41
Terre Haute, IN 47803-3920
Phone
(812) 877-8554
Fax
(812) 872-6051
NPI assigned
Mar 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 36001335A IN Primary
Athletic Trainer 2255A2300X IL

Addresses

Primary practice location

5500 Wabash Ave
CM 41
Terre Haute, IN 47803-3920

Mailing address

7092 E Clarksville Rd
Martinsville, IL 62442-2003
Phone (217) 967-5263

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
096-001463ILMDAthletic Trainer
36001335AINMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831168822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7092 E CLARKSVILLE RD",
            "city": "MARTINSVILLE",
            "state": "IL",
            "postal_code": "624422003",
            "telephone_number": "217-967-5263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 WABASH AVE",
            "address_2": "CM 41",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478033920",
            "telephone_number": "812-877-8554",
            "fax_number": "812-872-6051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAVE",
        "first_name": "JAMES",
        "middle_name": "MATTHEW",
        "name_prefix": "Mr.",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IN",
            "license": "36001335A",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Terre Haute, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.