Active NPI
Nicholas Wright, ATC
- Athletic Trainer
- Rocklin, CA
National Provider Identifier
1891160792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 200021299
- Practice address
- 333 Sunset Blvd
Rocklin, CA 95765-3707 - Phone
- (916) 577-2368
- NPI assigned
- Dec 3, 2015
- 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 | 200021299 | CA | Primary |
Addresses
Primary practice location
333 Sunset Blvd
Rocklin, CA 95765-3707
Mailing address
1611 Hendry Cir
Rocklin, CA 95765-4224
Phone (530) 844-1457
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
| License | State | Type | Specialty |
|---|---|---|---|
| 200021299 | CA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449100800000",
"number": "1891160792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1611 HENDRY CIR",
"city": "ROCKLIN",
"state": "CA",
"postal_code": "957654224",
"telephone_number": "530-844-1457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 SUNSET BLVD",
"city": "ROCKLIN",
"state": "CA",
"postal_code": "957653707",
"telephone_number": "916-577-2368"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WRIGHT",
"first_name": "NICHOLAS",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-12-03",
"last_updated": "2015-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "CA",
"license": "200021299",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rocklin, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.