Active NPIIndividual providerSole proprietor

Nicole A Pease, ATC, LAT

Specialist/Technologist, Athletic Trainer in Longmeadow, Massachusetts

NPI Number1316410608
Practice location
588 Longmeadow St, Longmeadow, MA 01106-2292
Fax
—
Last updated
January 9, 2019

Nicole A Pease is a Specialist/Technologist, Athletic Trainer based in Longmeadow, MA. Nicole A Pease practices in Longmeadow, MA and has the professional credentials of ATC, LAT. The NPI Number for Nicole A Pease is 1316410608 and holds a License No. 2131 (MA). The current practice location address for Nicole A Pease is 588 Longmeadow St, Longmeadow, MA 01106-2292 and can be reached out via phone at 413-565-1016.

Provider Profile Details

NPI Number
1316410608
Provider Name
Nicole A Pease
Credential
ATC, LAT
Provider Entity Type
Individual
Gender
Female
Address
588 Longmeadow St, Longmeadow, MA 01106-2292
Phone Number
413-565-1016
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
Yes
Other Names
Nicole A Varteresian, ATC, LAT (Former Name)
Provider Enumeration Date
January 9, 2019
Last Update Date
January 9, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
588 Longmeadow St
Longmeadow, MA 01106-2292
Zip
01106-2292
Phone Number
413-565-1016
Longmeadow, MA 01106Get directions →

Provider Business Mailing Address Details

Address
1 Windwood Dr
Windsor Locks, CT 06096-1610
City
Windsor Locks
State
CT
Zip
06096-1610
Phone Number
413-896-2530

License Information

License Number
2131
License State
MA
Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Nicole A Pease, ATC, LAT?

The NPI number of Nicole A Pease, ATC, LAT is 1316410608. It was assigned on January 9, 2019 and is currently active in the NPPES registry.

What is the specialty of Nicole A Pease, ATC, LAT?

Nicole A Pease, ATC, LAT is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in MA under license number 2131.

Where does Nicole A Pease, ATC, LAT practice?

The practice location is 588 Longmeadow St, Longmeadow, MA 01106-2292. The office can be reached at 413-565-1016 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1316410608 directly on the NPPES registry website.

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