Rebecca Guthrie Nyquist, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT001631 Issued in GA

Practice address

1765 Old West Broad Street
Building 2, Suite 200
Athens, GA 30606

Phone

(706) 549-1663

Fax

(706) 546-8792

NPI assigned

Mar 9, 2009

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1236556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480982400000",
    "number": "1932340700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1765 OLD WEST BROAD STREET",
            "address_2": "BUILDING 2, SUITE 200",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "30606",
            "telephone_number": "706-549-1663",
            "fax_number": "706-546-8792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1765 OLD WEST BROAD STREET",
            "address_2": "BUILDING 2, SUITE 200",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "30606",
            "telephone_number": "706-549-1663",
            "fax_number": "706-546-8792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYQUIST",
        "first_name": "REBECCA",
        "middle_name": "GUTHRIE",
        "name_prefix": "Mrs.",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-09",
        "last_updated": "2016-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "GA",
            "license": "AT001631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward Stanley Novey, M.D.
• NSH Cancer Institute Professional Services G LLC
• Kelsi Nummerdor, PHD
• Michelle A Nuss, MD
• Ogochukwu Y Nwanne, MD
• Rolf Nyah Tuku Nzalie, M.D.
• Kathryn O'Brien, CCC-SLP
• Leigh Ann Perri O'Dowd, PHARM D, RPH
• Shaun O'Rear, MD
• Jay D O'Shields, LMSW

• Athletic Trainer in Athens, GA
• Providers in Athens, GA by specialty
• Athletic Trainer in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2016; 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.