RAVEN SYMONE VEGA
NPI 1043952500
Specialist/Technologist - Athletic Trainer in Louisville, KY

Q: What is Raven Vega's NPI number?

The NPI number for Raven Vega is 1043952500. It was assigned to this individual provider in the NPPES registry on April 13, 2022.

Q: What is Raven Vega'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 Raven Vega was last updated on December 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 April 13, 2022

215 CENTRAL AVE STE 201, LOUISVILLE, KY 40208(502) 637-7678 Get Directions Write a Review

NPPES record last updated: December 8, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 8, 2022, Apr 13, 2022 (2 updates tracked since 2022).

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About Raven Symone Vega NPPES

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

RAVEN SYMONE VEGA (NPI 1043952500) is an individual athletic trainer provider in Louisville, Kentucky and active in the NPI registry since April 2022.

NPPES Registry Identity

NPI1043952500

Entity TypeIndividualFemale

Primary Taxonomy2255A2300X

Provider Legal NameRAVEN SYMONE VEGA

Location Address215 CENTRAL AVE STE 201Louisville, KY 40208-1451

Mailing Address901 S 4th StLouisville, KY 40203-3205 · (502) 585-9911

Phone(502) 637-7678

Sole ProprietorNo

Enumeration DateApril 13, 2022

Last NPPES UpdateDecember 8, 20222 updates tracked since enumeration

NPPES CertifiedDecember 8, 2022

✔ NPI 1043952500 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.

215 CENTRAL AVE STE 201, Louisville, KY 40208

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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BIANCA GRIMSHAW MS, ATC, OTC

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