MRS. JACQUELINE ANN FUENTES LAT,ATC
NPI 1174068407
Specialist/Technologist - Athletic Trainer in Winston Salem, NC

Q: What is Jacqueline Fuentes's NPI number?

The NPI number for Jacqueline Fuentes is 1174068407. It was assigned to this individual provider in the NPPES registry on December 22, 2016.

Q: What is Jacqueline Fuentes's specialty?

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

Active since December 22, 2016

120 CHARLOIS BLVD, WINSTON SALEM, NC 27103(336) 765-5664(336) 768-6713 Get Directions Write a Review

NPPES record last updated: December 22, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mrs. Jacqueline Ann Fuentes Lat,atc NPPES

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

MRS. JACQUELINE ANN FUENTES LAT,ATC (NPI 1174068407) is an individual athletic trainer provider in Winston Salem, North Carolina, licensed in North Carolina (2075) and active in the NPI registry since December 2016.

NPPES Registry Identity

NPI1174068407

Entity TypeIndividualFemale

Primary Taxonomy2255A2300X

Provider Legal NameMRS. JACQUELINE ANN FUENTESCredential: LAT,ATC

Location Address120 CHARLOIS BLVDWinston Salem, NC 27103-1562

Mailing Address120 Charlois BlvdWinston Salem, NC 27103-1562 · (336) 765-5664 · Fax (336) 768-6713

Phone(336) 765-5664

Fax(336) 768-6713

Sole ProprietorNo

Enumeration DateDecember 22, 2016

✔ NPI 1174068407 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

License✔ Licensed in NC · 2075

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.

120 CHARLOIS BLVD, Winston Salem, NC 27103

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Other Providers at the Same Location NPPES 7

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

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