NICOLE VANDZURA
NPI 1003486895
Specialist/Technologist - Athletic Trainer in Loris, SC

Q: What is Nicole Vandzura's NPI number?

The NPI number for Nicole Vandzura is 1003486895. It was assigned to this individual provider in the NPPES registry on June 25, 2021.

Q: What is Nicole Vandzura's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Vandzura was last updated on June 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 25, 2021

4751 ANSEL LN, LORIS, SC 29569(732) 609-0775 Get Directions Write a Review

NPPES record last updated: June 25, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Nicole Vandzura NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE VANDZURA (NPI 1003486895) is an individual athletic trainer provider in Loris, South Carolina and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1003486895

Entity TypeIndividualFemale

Primary Taxonomy2255A2300X

Provider Legal NameNICOLE VANDZURA

Location Address4751 ANSEL LNLoris, SC 29569-6427

Mailing Address4751 Ansel LnLoris, SC 29569-6427 · (732) 609-0775

Phone(732) 609-0775

Sole ProprietorYes

Enumeration DateJune 25, 2021

NPPES CertifiedJune 25, 2021

✔ NPI 1003486895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2255A2300X

Definition

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.

4751 ANSEL LN, Loris, SC 29569

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Vandzura's NPI number?

The NPI number for Nicole Vandzura is 1003486895. It was assigned to this individual provider in the NPPES registry on June 25, 2021.

Where is Nicole Vandzura located?

Nicole Vandzura practices at 4751 Ansel Ln, Loris, SC 29569. The listed phone number is (732) 609-0775.

What is Nicole Vandzura's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for Nicole Vandzura was last updated on June 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.