Active NPI
Chris Williams, ATC
- Athletic Trainer
- Cedar Bluff, VA
National Provider Identifier
1891451704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 2218
- Practice address
- 635 Community College Rd
Cedar Bluff, VA 24609-9363 - Phone
- (276) 964-7513
- NPI assigned
- Nov 15, 2021
- 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 | 2218 | NC | Primary |
Addresses
Primary practice location
635 Community College Rd
Cedar Bluff, VA 24609-9363
Mailing address
267 Forest Brook Rd
Lebanon, VA 24266-3531
Phone (828) 775-2403
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 |
|---|---|---|---|
| 2218 | NC | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636934400000",
"number": "1891451704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "267 FOREST BROOK RD",
"city": "LEBANON",
"state": "VA",
"postal_code": "242663531",
"telephone_number": "828-775-2403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "635 COMMUNITY COLLEGE RD",
"city": "CEDAR BLUFF",
"state": "VA",
"postal_code": "246099363",
"telephone_number": "276-964-7513"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "CHRIS",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-11-15",
"last_updated": "2021-11-15",
"certification_date": "2021-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NC",
"license": "2218",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cedar Bluff, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.