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Andrew Martin Stull , ATC

Specialist/Technologist - Athletic Trainer β€’ Williston, VT

Active NPI 1346519774 Individual Practitioner Male Practitioner
Practice location in NPPES

28 Park Ave
Williston, VT 054959701

Call 8028781008 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

28 Park Ave

Williston, VT 054959701

Telephone 8028781008
Organization at the Same NPPES Address or Phone
Mainspring Health, Inc. Facility NPI 1215009949

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 Williston and Vermont

17 active clinicians are listed under Specialist/Technologist - Athletic Trainer with a practice address in Williston, VT (188 in Vermont).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Williston

0% of these 17 clinicians have the CMS telehealth indicator.

0% of these 17 clinicians are listed by CMS as accepting Medicare assignment.

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: 2022-02-14
Specialist/Technologist - Athletic Trainer Primary Specialty

NUCC Taxonomy Code: 2255A2300X

License # reported to NPPES VT 104.0133941

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: Vermont State Medical Licensing Board.
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.

18 listed
Dr. Lauren Adams , MD

Family Medicine

NPI 1023695194

Doctor of Medicine (M.D.)

Danielle Beaudoin , AGNP

Nurse Practitioner - Adult Health

NPI 1326497306

Adult-Gerontology Nurse Practitioner

Diane Collias , LICSW

Social Worker - Clinical

NPI 1396382628

Licensed Independent Clinical Social Worker

NPI 1629188750

Doctor of Medicine (M.D.)

Dr. Jan Ferris , DO

Family Medicine

NPI 1588774608

Doctor of Osteopathic Medicine (D.O.)

Danielle Jasinski

Family Medicine

NPI 1518457746

Career & Practice History Timeline

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

13 Historical Events
πŸ“
Updated Practice Location February 15, 2022

Registered at 28 PARK AVE, WILLISTON, VT 054959701 (Tel: 8028781008)

πŸ“
Updated Business Mailing Address February 15, 2022

Registered at 28 PARK AVE, WILLISTON, VT 054959701 (Tel: 8028781008)

πŸ“
Updated Business Mailing Address December 29, 2020

Registered at 158 HARMON DR, NORTHFIELD, VT 056631000 (Tel: 8024852000)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 29, 2020

Specialist/Technologist (license number reported to NPPES: VT 104.0133941)

πŸ“
Updated Practice Location November 30, 2018

Registered at INDOOR SPORTS COMPLEX 100 NICOLLS RD, STONY BROOK, NY 117940001 (Tel: 6316327207)

πŸ“
Updated Business Mailing Address November 30, 2018

Registered at INDOOR SPORTS COMPLEX 100 NICOLLS RD, STONY BROOK, NY 117940001 (Tel: 6316327207)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 30, 2018

Specialist/Technologist (license number reported to NPPES: NY 0026721)

βœ…
NPI Profile Active December 13, 2011

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) December 13, 2011

Registered at SW RECREATION CTR, 140E SWRC, GAINESVILLE, FL 326112760 (Tel: 3522732439)

πŸ“
Business Mailing Address (Initial Record) December 13, 2011

Registered at SW RECREATION CTR, 140E SWRC, GAINESVILLE, FL 326112760 (Tel: 3522732439)

πŸ‘€
Provider Name / Credentials (Initial Record) December 13, 2011

Recorded as ANDREW STULL, ATC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 13, 2011

Specialist/Technologist (license number reported to NPPES: FL AL3145)

🟒
Initial NPI Registration & Enumeration December 13, 2011

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1346519774
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 13, 2011
Last Update: February 15, 2022
Sole Proprietor: Yes

Mailing Address

28 Park Ave

Williston, VT 054959701

Phone: 8028781008

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.