Casey Webb

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

114987 Issued in IA

Practice address

10263 Fourth Armored Division Dr
Fort Drum, NY 13602

Phone

(315) 772-3524

NPI assigned

Oct 4, 2020

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": "1601769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659484800000",
    "number": "1932706843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31417 COUNTY ROUTE 179",
            "city": "CHAUMONT",
            "state": "NY",
            "postal_code": "136222309",
            "telephone_number": "315-777-2444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10263 FOURTH ARMORED DIVISION DR",
            "city": "FORT DRUM",
            "state": "NY",
            "postal_code": "13602",
            "telephone_number": "315-772-3524"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "31417 County Route 179",
            "address_purpose": "LOCATION",
            "city": "Chaumont",
            "state": "NY",
            "postal_code": "136222309",
            "country_code": "US",
            "telephone_number": "315-777-2444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEBB",
        "first_name": "CASEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-04",
        "last_updated": "2022-08-03",
        "certification_date": "2022-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IA",
            "license": "114987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Robert Voelker, DMD
• Nicole Rose Vogel
• Tawnya Nicole Vultaggio, RN
• Julie Wainwright, DENTAL ASSISTANTEFDA
• Gregory Wallace, D.O.
• Brittney Welborn
• Kristina Marie Wener
• William Christ Werling, MPT
• Dorothy Wernick, B.S., LAT, ATC
• William Werthman, RD

• Athletic Trainer in Fort Drum, NY
• Providers in Fort Drum, NY by specialty
• Athletic Trainer in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2022; 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.