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Jay Joseph Davide , LAT

Specialist/Technologist - Athletic Trainer • Appleton, WI

Active NPI 1477515989 Individual Practitioner Male Practitioner
Practice location in NPPES

820 E Grant St
Appleton, WI 549113483

Call 9207168137 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

820 E Grant St

Appleton, WI 549113483

Telephone 9207168137
Organization at the Same NPPES Address or Phone
Fox Valley Pulmonary Medicine, Llc Facility NPI 1265590848

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

NPI first issued

2006

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 Appleton and Wisconsin

44 active clinicians are listed under Specialist/Technologist - Athletic Trainer with a practice address in Appleton, WI (1,231 in Wisconsin).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Appleton

0% of these 44 clinicians have the CMS telehealth indicator.

0% of these 44 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 WI 164039

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: Wisconsin Department of Safety and Professional Services.
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.

19 listed
Dr. Sahar Ahmad , MD

Internal Medicine

NPI 1740264696

Doctor of Medicine (M.D.)

Jon Berge , APNP

Nurse Practitioner

NPI 1134553456

Advanced Practice Nurse Prescriber

Heather Books , PA

Physician Assistant

NPI 1356370514

Physician Assistant

Dr. Douglas Connor , MD

Internal Medicine - Sports Medicine

NPI 1467677278

Doctor of Medicine (M.D.)

Dr. David Conrad , MD

Orthopaedic Surgery

NPI 1356545396

Doctor of Medicine (M.D.)

Dr. Brenda Dierschke , MD

Physical Medicine & Rehabilitation

NPI 1245381987

Doctor of Medicine (M.D.)

Career & Practice History

NPI enumerated April 03, 2006.

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: 1477515989
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 03, 2006
Last Update: July 13, 2026
Sole Proprietor: No

Mailing Address

1191 Trailwood Dr

De Pere, WI 541151045

Phone: 9203390233

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.