Active NPI
Neil Harman Curtis Flack
- Athletic Trainer
- Provo, UT
National Provider Identifier
1831898592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- STUDENT
- Practice address
- George a. Smith Field House
Field House Dr
Provo, UT 84604 - Phone
- (801) 422-2145
- NPI assigned
- Mar 1, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 | STUDENT | Primary |
Addresses
Primary practice location
George a. Smith Field House
Field House Dr
Provo, UT 84604
Mailing address
1150 N 150 E
Provo, UT 84604
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": "1677628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677628800000",
"number": "1831898592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1150 N 150 E",
"city": "PROVO",
"state": "UT",
"postal_code": "84604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "GEORGE A. SMITH FIELD HOUSE",
"address_2": "FIELD HOUSE DR",
"city": "PROVO",
"state": "UT",
"postal_code": "84604",
"telephone_number": "801-422-2145"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLACK",
"first_name": "NEIL",
"middle_name": "HARMAN CURTIS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-03-01",
"last_updated": "2023-03-01",
"certification_date": "2023-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": "STUDENT",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Provo, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.