CULLEN FRIDLEY ATC, LAT, CIDN
NPI 1073074407
Specialist/Technologist - Athletic Trainer in Sierra Vista, AZ

NPI Status: Active since March 28, 2019

Contact Information

2240 WINROW RD
SIERRA VISTA, AZ
ZIP 85613
Phone: (850) 384-8511

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  • Individual
  • Male
  • Specialist/Technologist
  • Athletic Trainer

About CULLEN FRIDLEY

This page provides the complete NPI Profile along with additional information for Cullen Fridley, a provider established in Sierra Vista, Arizona with a medical specialization in Specialist/technologist, focusing in athletic trainer . The healthcare provider is registered in the NPI registry with number 1073074407 assigned on March 2019. The practitioner's primary taxonomy code is 2255A2300X with license number ATR-100152 (AZ). The provider is registered as an individual and his NPI record was last updated one year ago.

NPI
1073074407
Provider Name
CULLEN FRIDLEY ATC, LAT, CIDN
Gender
Male
Entity Type
Individual
Location Address
2240 WINROW RD SIERRA VISTA, AZ 85613
Location Phone
(850) 384-8511
Mailing Address
2240 WINROW RD SIERRA VISTA, AZ 85613
Is Sole Proprietor?
No
Enumeration Date
03-28-2019
Last Update Date
10-20-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist/Technologist Athletic Trainer

Taxonomy Code
2255A2300X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
ATR-100152
License State
AZ
Taxonomy Description
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.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1073074407
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2014307840
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 4 + 3 + 0 + 7 + 8 + 4 + 0 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1073074407 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1942396189MR. VANCIL MCNULTY PT
Individual
Physical Therapist (Orthopedic)2240 WINROW RD
FORT HUACHUCA, AZ 85613
(520) 533-9902
1992895684DR. CLARENCE RICHARD KNOWLES DO
Individual
Pediatrics2240 WINROW RD
FORT HUACHUCA, AZ 85613
(520) 533-9143
1417047101MR. MICHAEL WAYNE KARR RPH
Individual
Pharmacist2240 WINROW RD ATTN: PHARMACY
FORT HUACHUCA, AZ 85613
(520) 533-2520
1689031304 MERCY W CARBONE LPN
Individual
Licensed Vocational Nurse2240 WINROW RD
FORT HUACHUCA, AZ 85613
(520) 533-2066
1497112023 PATRICIA ANNE MARTINEZ RN
Individual
Registered Nurse2240 WINROW RD
FORT HUACHUCA, AZ 85613
(520) 533-5113
1336506831 RODOLFO REALYVASQUEZ
Individual
Licensed Practical Nurse2240 WINROW RD
FORT HUACHUCA, AZ 85613
(520) 533-9033
1386001881MRS. ROSA ALMA HERNANDEZ
Individual
Licensed Practical Nurse2240 WINROW RD
FORT HUACHUCA, AZ 85613
(520) 533-9034
1144687641MRS. MARGARET MARY REGISTER RN
Individual
Registered Nurse (Administrator)2240 WINROW RD
FORT HUACHUCA, AZ 85613
(520) 533-9034
1881052355 SERENA HERNANDEZ
Individual
Licensed Practical Nurse2240 WINROW RD
FORT HUACHUCA, AZ 85613
(520) 533-9034
1417315797 DEBRA A THORNBY
Individual
Registered Nurse (Occupational Health)2240 WINROW RD
FORT HUACHUCA, AZ 85613
(520) 533-4887
1215395389 BARBARA LONG R.N.
Individual
Registered Nurse2240 WINROW RD
FORT HUACHUCA, AZ 85613
(520) 533-5956
1619335338 LISA BUEHLER LPN
Individual
Licensed Practical Nurse2240 WINROW RD
FORT HUACHUCA, AZ 85613
(520) 533-9121
1366801946 CINDY BERRY
Individual
Registered Nurse2240 WINROW RD
FORT HUACHUCA, AZ 85613
(520) 533-9179
1124487434 KIRSTEN CURTIS
Individual
Emergency Medical Technician, Basic2240 WINROW RD
FORT HUACHUCA, AZ 85613
(520) 533-3711
1477912616MRS. RACHEL TRIPP
Individual
Licensed Practical Nurse2240 WINROW RD
FORT HUACHUCA, AZ 85613
(520) 533-2066
1659730851 LINDA RANSOM-POOL LPN
Individual
Licensed Practical Nurse2240 WINROW RD
FORT HUACHUCA, AZ 85613
(520) 533-2627
1609235894 JEAN PABLO WEBB
Individual
Licensed Practical Nurse2240 WINROW RD
FORT HUACHUCA, AZ 85613
(520) 533-2627
1952760068 NICOLE AVERAINO RN
Individual
Registered Nurse (Case Management)2240 WINROW RD
FORT HUACHUCA, AZ 85613
(520) 533-5580
1942661210 AKUNNA AKURUKA RN
Individual
Registered Nurse (Ambulatory Care)2240 WINROW RD
FORT HUACHUCA, AZ 85613
(520) 533-5309
1063873164 MICHELLE ARRIETA LPN
Individual
Licensed Practical Nurse2240 WINROW RD
FORT HUACHUCA, AZ 85613
(520) 533-4963

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073074407, enumerated in the NPI registry as an "individual" on March 28, 2019

The provider is located at 2240 Winrow Rd Sierra Vista, Az 85613 and the phone number is (850) 384-8511

The provider's speciality is Specialist/Technologist with taxonomy code 2255A2300X with a focus in Athletic Trainer

This NPI record was last updated on March 28, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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