Nicole Catherine Davis, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AL4861 Issued in FL

Practice address

13837 Circa Crossing Drive
Lithia, FL 33547

Phone

(813) 684-2663

NPI assigned

Jan 24, 2013

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

Other names 1

• Nicole Catherine Buck Former name

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": "1358985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755388800000",
    "number": "1942548094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5808 27TH TER E",
            "city": "PALMETTO",
            "state": "FL",
            "postal_code": "342211279",
            "telephone_number": "636-614-6505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13837 CIRCA CROSSING DRIVE",
            "city": "LITHIA",
            "state": "FL",
            "postal_code": "33547",
            "telephone_number": "813-684-2663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "NICOLE",
        "middle_name": "CATHERINE",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-24",
        "last_updated": "2025-08-17",
        "certification_date": "2025-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "AL4861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "BUCK",
            "middle_name": "CATHERINE",
            "credential": "ATC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jhenna Rae Cross, M.S., CCC-SLP
• Monique Crummer
• Aasia Dastgir, LMT
• Laura Mary David, RMHC-I
• Jack Allen Davidson Jr., DDS, MD
• Oscar Julius Debardeleben, LMHC
• Ronald Feliciano Delgado
• Dental Excellence at Fishhawk
• Gybely Diaz-Gonzales, APRN-C
• Lissette Diaz

• Athletic Trainer in Lithia, FL
• Providers in Lithia, FL by specialty
• Athletic Trainer in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2025; 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.