Nicole Sue Inskeep, LAT, ATC

Key facts

NPI

1952880841

Entity type

Individual (NPI type 1)

Primary specialty

Athletic Trainer 2255A2300X

License

LAT-3955 (NC)

Practice address

130 E Wilson St
Wingate, NC 28174

Phone

(704) 233-8165

NPI assigned

Aug 10, 2018

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 10, 2018.

{
    "created_epoch": "1533859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533859200000",
    "number": "1952880841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 N MAIN ST",
            "city": "WINGATE",
            "state": "NC",
            "postal_code": "281746760",
            "telephone_number": "515-419-5950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 E WILSON ST",
            "city": "WINGATE",
            "state": "NC",
            "postal_code": "28174",
            "telephone_number": "704-233-8165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INSKEEP",
        "first_name": "NICOLE",
        "middle_name": "SUE",
        "credential": "LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-10",
        "last_updated": "2018-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NC",
            "license": "LAT-3955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wingate, NC

• Susan Andrea Hino, RN
• Kwanita Lynette Hunt-Scott, PA-C
• Jessica Nicole Hylton, LPC, NCC
• Inreach
• Inreach
• Morgan Lenora Jamison
• Jadyn Johnson
• Olivia Aliya Johnson
• Caroline Kannel, LAT, ATC
• Gabriela Kanode, PHARM D

All providers in Wingate, NC · Athletic Trainer in North Carolina