Nicole Lichtenwalner, MS, LAT, ATC, CEAS I
Specialist/Technologist, Athletic Trainer in Harrisonburg, VA. Individual provider (NPI-1).
NPI number1295112993
StatusActive
Last updated in NPPESMar 17, 2018
Details
- NPI
- 1295112993
- Entity type
- Individual (NPI-1)
- Name
- Nicole Lichtenwalner
- Credential
- MS, LAT, ATC, CEAS I
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 1, 2015
- Last updated
- Mar 17, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – | Yes |
Practice location
701 Driver DrHarrisonburg, VA 22807-1002
Phone 540-568-8764
Mailing address
904 Camelot LnHarrisonburg, VA 22801-7721
Phone 561-214-0799
Other practice locations
2010 Health Campus Dr
Rockingham, VA 22801-8679
Rockingham, VA 22801-8679
Phone 540-689-1000
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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