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Nicholas Nakagama , ATC

Specialist/Technologist - Athletic Trainer β€’ Bountiful, UT

Active NPI 1417233784 Individual Practitioner Male Practitioner
Practice location in NPPES

280 N Main St
Bountiful, UT 840106136

Call 8012982495 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

280 N Main St

Bountiful, UT 840106136

Telephone 8012982495
Fax 8012982801
Organization at the Same NPPES Address or Phone
Ihc Health Services Inc Facility NPI 1114057924

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2011

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Bountiful and Utah

6 active clinicians are listed under Specialist/Technologist - Athletic Trainer with a practice address in Bountiful, UT (712 in Utah).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-10-03
Specialist/Technologist - Athletic Trainer Primary Specialty

NUCC Taxonomy Code: 2255A2300X

License # reported to NPPES UT 7786912-4810

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Utah Division of Professional Licensing.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Dr. Spencer Richards , MD

Family Medicine - Sports Medicine

NPI 1609845775

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Business Mailing Address October 03, 2022

Registered at 262 E ELLEN LN, NORTH SALT LAKE, UT 840542304 (Tel: 8015412130)

πŸ‘€
Provider Name / Credentials Updated October 03, 2022

Recorded as NICHOLAS NAKAGAMA, ATC

βœ…
NPI Profile Active December 07, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) December 07, 2016

Registered at 280 N MAIN ST, BOUNTIFUL, UT 840106136 (Tel: 8012982495)

πŸ“
Business Mailing Address (Initial Record) December 07, 2016

Registered at 116 S MAIN ST, APT. 2, BOUNTIFUL, UT 840106285 (Tel: 8015412130)

πŸ‘€
Provider Name / Credentials (Initial Record) December 07, 2016

Recorded as NICHOLAS NAKAGAMA, A.T.C.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 07, 2016

Specialist/Technologist (license number reported to NPPES: UT 7786912-4810)

🟒
Initial NPI Registration & Enumeration October 31, 2011

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1417233784
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 31, 2011
Last Update: October 03, 2022
Sole Proprietor: Yes

Mailing Address

262 E Ellen Ln

North Salt Lake, UT 840542304

Phone: 8015412130

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.