Individual provider Active NPI

Nicole Victoria Compton, ATC/L

  • Athletic Trainer
  • Winterville, NC
National Provider Identifier
1952789042
Registry record updated May 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
LAT-2442 Issued in NC
Practice address
740 W Fire Tower Rd
Suite 113
Winterville, NC 28590-8411
Phone
(252) 329-8800
Fax
(252) 329-8866
NPI assigned
May 11, 2015
Last updated
May 11, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X LAT-2442 NC Primary

Addresses

Primary practice location

740 W Fire Tower Rd
Suite 113
Winterville, NC 28590-8411

Mailing address

740 W Fire Tower Rd
Suite 113
Winterville, NC 28590-8411
Phone (252) 329-8800

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

LicenseStateTypeSpecialty
LAT-2442NCMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Performance Sports and Physical Therapy, LLC PastSince May 31, 2019 Accepting new patients
Greenville Peak Performance Sports & Physical Therapy, LLC PastSince Sep 3, 2007 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1431302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431302400000",
    "number": "1952789042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 W FIRE TOWER RD",
            "address_2": "SUITE 113",
            "city": "WINTERVILLE",
            "state": "NC",
            "postal_code": "285908411",
            "telephone_number": "252-329-8800",
            "fax_number": "252-329-8866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 W FIRE TOWER RD",
            "address_2": "SUITE 113",
            "city": "WINTERVILLE",
            "state": "NC",
            "postal_code": "285908411",
            "telephone_number": "252-329-8800",
            "fax_number": "252-329-8866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COMPTON",
        "first_name": "NICOLE",
        "middle_name": "VICTORIA",
        "credential": "ATC/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-11",
        "last_updated": "2015-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NC",
            "license": "LAT-2442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winterville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2015; 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.