Active NPIIndividual provider

Courtney N Fanelle, MS, ATC, LAT

Specialist/Technologist, Athletic Trainer in Clearwater, Florida

NPI Number1558260448
Practice location
651 N Old Coachman RD, Clearwater, FL 33765-2321
Fax
—
Last updated
November 5, 2026

Courtney Nicole Fanelle is a Specialist/Technologist, Athletic Trainer based in Clearwater, FL. Courtney Nicole Fanelle practices in Clearwater, FL and has the professional credentials of MS, ATC, LAT. The NPI Number for Courtney Nicole Fanelle is 1558260448 and holds a License No. 7394 (FL). The current practice location address for Courtney Nicole Fanelle is 651 N Old Coachman RD, Clearwater, FL 33765-2321 and can be reached out via phone at 609-828-2232.

Provider Profile Details

NPI Number
1558260448
Provider Name
Courtney Nicole Fanelle
Credential
MS, ATC, LAT
Provider Entity Type
Individual
Gender
Female
Address
651 N Old Coachman RD, Clearwater, FL 33765-2321
Phone Number
609-828-2232
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
No
Provider Enumeration Date
November 5, 2026
Last Update Date
November 5, 2026
Certification Date
November 5, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
651 N Old Coachman RD
Clearwater, FL 33765-2321
State
Florida
Zip
33765-2321
Phone Number
609-828-2232
Clearwater, FL 33765Get directions →

Provider Business Mailing Address Details

Address
110 Akron Ave
Haddon Township, NJ 08108-2408
City
Haddon Township
State
NJ
Zip
08108-2408
Phone Number
609-828-2232

License Information

License Number (1)
7394
License State (1)
FL
License Number (2)
25MT00334000
License State (2)
NJ
Taxonomy (2)
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 Courtney N Fanelle, MS, ATC, LAT?

The NPI number of Courtney N Fanelle, MS, ATC, LAT is 1558260448. It was assigned on November 5, 2026 and is currently active in the NPPES registry.

What is the specialty of Courtney N Fanelle, MS, ATC, LAT?

Courtney N Fanelle, MS, ATC, LAT is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in FL under license number 7394.

Where does Courtney N Fanelle, MS, ATC, LAT practice?

The practice location is 651 N Old Coachman RD, Clearwater, FL 33765-2321. The office can be reached at 609-828-2232 (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 1558260448 directly on the NPPES registry website.

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