WYATT WHITEGOAT


Address: 5200 2nd St Nw, Washington, DC 20011-6622
Phone: 2022231111

WYATT WHITEGOAT (NPI# 1972006484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1972006484
Entity Type Individual
Full Name WYATT WHITEGOAT
Practice Address 5200 2nd St Nw
Washington
DC 20011-6622
Practice Telephone 2022231111
Enumeration Date 2018-03-10
Last Update Date 2019-08-05
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2255A2300X Specialist/Technologist
Specialization: Athletic Trainer
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Provider Secondary Practice Location

Address Telephone Number Fax Number
1088 N and South Rd, Saint Louis, MO 631302114 9285502795

Office Location

Street Address 5200 2ND ST NW
City WASHINGTON
State DC
Zip Code 20011-6622

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Taxonomy Information

Taxonomy Code 2255A2300X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Specialist/Technologist
Specialization Athletic Trainer

Taxonomy Definition

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1720616808 Nicholas Clements Specialist/Technologist 1400 Main Dr Nw, Washington, DC 20012-2822 2020-04-01
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1306479688 Courtney Anne Bekemeyer Specialist/Technologist 1491 17th Rd, Washington, KS 66968-8407 2020-02-14
1457991176 Joseph Stephen Driscoll Specialist/Technologist St. Albans School / Mount St, Alban, 3001 Wisconsin Ave, Washington, DC 20016 2020-01-10
1538706676 Eric Schwartz Specialist/Technologist 2400 E Capitol St Se, Washington, DC 20003 2019-12-09
1639723364 Rebecca Barron Specialist/Technologist 1255 25th St Nw Apt 903, Washington, DC 20037-4115 2019-07-31
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Competitor

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City WASHINGTON
Zip Code 20011

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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