Active NPI
Sean Giles Julian
- Athletic Trainer
- Fort Wayne, IN
National Provider Identifier
1891406187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 3946 Ice Way
Fort Wayne, IN 46805-1018 - Phone
- (260) 266-4007
- NPI assigned
- Dec 8, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | IN | ||
| Athletic Trainer | 2255A2300X | Primary |
Addresses
Primary practice location
3946 Ice Way
Fort Wayne, IN 46805-1018
Mailing address
3946 Ice Way
Fort Wayne, IN 46805-1018
Phone (317) 498-6808
Other practice location 1
3946 Ice Way
Fort Wayne, IN 46805-1018
Phone (260) 266-4007
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": "1670457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733270400000",
"number": "1891406187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3946 ICE WAY",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468051018",
"telephone_number": "317-498-6808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3946 ICE WAY",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468051018",
"telephone_number": "260-266-4007"
}
],
"practiceLocations": [
{
"address_1": "3946 Ice Way",
"address_purpose": "LOCATION",
"city": "Fort Wayne",
"state": "IN",
"postal_code": "468051018",
"country_code": "US",
"telephone_number": "260-266-4007",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JULIAN",
"first_name": "SEAN",
"middle_name": "GILES",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-12-08",
"last_updated": "2024-12-04",
"certification_date": "2024-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "IN",
"license": null,
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.