Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Nicole Clements , ATC, LAT

Specialist/Technologist - Athletic Trainer • Pullman, WA

Active NPI 1073989489 Individual Practitioner Female Practitioner
Practice location in NPPES

825 Se Bishop Blvd, Suite 120
Pullman, WA 991635517

Call 5093322828 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

825 Se Bishop Blvd
Suite 120

Pullman, WA 991635517

Telephone 5093322828
Fax 5093347474
Organization at the Same NPPES Address or Phone
Audiological Services Inc Facility NPI 1316935513

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

NPI first issued

2015

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, “Does 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 Pullman and Washington

49 active clinicians are listed under Specialist/Technologist - Athletic Trainer with a practice address in Pullman, WA (820 in Washington).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Pullman

0% of these 49 clinicians have the CMS telehealth indicator.

0% of these 49 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 · Report an error.

Specialties & License Numbers Reported to NPPES

Specialist/Technologist - Athletic Trainer Primary Specialty

NUCC Taxonomy Code: 2255A2300X

License # reported to NPPES WA A160588830

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.

Specialist/Technologist - Athletic Trainer

NUCC Taxonomy Code: 2255A2300X

License # reported to NPPES ID AT-554

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: Washington State Department of Health Provider Lookup.
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.

7 listed
Dr. Jason Blackham , MD

Internal Medicine - Sports Medicine

NPI 1821293242

Doctor of Medicine (M.D.)

Timothy Holmstrom , MS, PA-C, ATC, CSCS

Physician Assistant - Medical

NPI 1346326204

Master of Science, Physician Assistant (Certified), Certified Athletic Trainer, Certified Strength and Conditioning Specialist

NPI 1093843492

Doctor of Nursing Practice, Advanced Registered Nurse Practitioner

Dr. Michael Osterholt , MD

Family Medicine - Sports Medicine

NPI 1588283634

Doctor of Medicine (M.D.)

Dr. Steven Pennington , MD

Orthopaedic Surgery

NPI 1740290642

Doctor of Medicine (M.D.)

Dr. Mathew Taylor , MD, MPH

Orthopaedic Surgery - Sports Medicine

NPI 1780078790

Doctor of Medicine (M.D.), Master of Public Health

Career & Practice History

NPI enumerated August 19, 2015.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1073989489
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 19, 2015
Last Update: August 19, 2015
Sole Proprietor: No

Mailing Address

825 Se Bishop Blvd, Suite 120

Pullman, WA 991635517

Phone: 5093322828

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.