Individual provider Active NPI

Abigail Yotty, MS, LAT

  • Athletic Trainer
  • Davenport, IA
National Provider Identifier
1992487391
Registry record updated Aug 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
000799 Issued in IA
Practice address
518 W Locust St
Lee Lohman Arena
Davenport, IA 52803
Phone
(319) 541-4409
NPI assigned
Aug 4, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2023

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 000799 IA Primary

Addresses

Primary practice location

518 W Locust St
Lee Lohman Arena
Davenport, IA 52803

Mailing address

518 W Locust St
Lee Lohman Arena
Davenport, IA 52803

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
000799IAMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1691107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691107200000",
    "number": "1992487391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "518 W LOCUST ST",
            "address_2": "LEE LOHMAN ARENA",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "52803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 W LOCUST ST",
            "address_2": "LEE LOHMAN ARENA",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "52803",
            "telephone_number": "319-541-4409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOTTY",
        "first_name": "ABIGAIL",
        "name_prefix": "Mrs.",
        "credential": "MS, LAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-04",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IA",
            "license": "000799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2023; 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.