Active NPI
Nicholas Rawlins, ATC
- Athletic Trainer
- Tempe, AZ
National Provider Identifier
1962833236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 1140
- Practice address
- 615 E Weber Dr
Apt 1018
Tempe, AZ 85281-1775 - Phone
- (707) 684-9406
- NPI assigned
- Dec 11, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 1140 | AZ | Primary |
Addresses
Primary practice location
615 E Weber Dr
Apt 1018
Tempe, AZ 85281-1775
Mailing address
615 E Weber Dr
Apt 1018
Tempe, AZ 85281-1775
Phone (707) 684-9406
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22 | Other | AZ | (RESPIRATORY, REHABILITATIVE & RESTORATIVE SERVICE PROVIDERS |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1140 | AZ | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386720000000",
"number": "1962833236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 E WEBER DR",
"address_2": "APT 1018",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852811775",
"telephone_number": "707-684-9406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 E WEBER DR",
"address_2": "APT 1018",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852811775",
"telephone_number": "707-684-9406"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAWLINS",
"first_name": "NICHOLAS",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-12-11",
"last_updated": "2013-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "AZ",
"license": "1140",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "(RESPIRATORY, REHABILITATIVE & RESTORATIVE SERVICE PROVIDERS",
"identifier": "22",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.