Steve Weedon, AT/LAT, M.ED

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

282 Issued in AL

Practice address

1218 Kingston Garden Rd
Prattville, AL 36067-1704

Phone

(334) 313-5616

NPI assigned

Apr 23, 2015

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

Other names 1

• Steven Allen Weedon Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

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

{
    "created_epoch": "1429747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429747200000",
    "number": "1891182200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1218 KINGSTON GARDEN RD",
            "city": "PRATTVILLE",
            "state": "AL",
            "postal_code": "360671704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1218 KINGSTON GARDEN RD",
            "city": "PRATTVILLE",
            "state": "AL",
            "postal_code": "360671704",
            "telephone_number": "334-313-5616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEEDON",
        "first_name": "STEVE",
        "credential": "AT/LAT, M.ED",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-23",
        "last_updated": "2015-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "AL",
            "license": "282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEVEN",
            "last_name": "WEEDON",
            "middle_name": "ALLEN",
            "credential": "AT/ LAT, M.ED",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Athletic Trainer in Prattville, AL
• Providers in Prattville, AL by specialty
• Athletic Trainer in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.

Verify at the official NPI Registry.