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

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: July 19, 2026.

  • Individual
  • Female
  • Specialist/Technologist
  • Athletic Trainer

About JACQUELINE FUENTES

This page provides the complete NPI Profile along with additional information for Jacqueline Fuentes, a provider established in Winston Salem, North Carolina with a medical specialization in Specialist/technologist, focusing in athletic trainer . The healthcare provider is registered in the NPI registry with number 1174068407 assigned on December 2016. The practitioner's primary taxonomy code is 2255A2300X with license number 2075 (NC). The provider is registered as an individual and her NPI record was last updated 10 years ago.

NPI
1174068407 Verify this NPI
Provider Name
MRS. JACQUELINE ANN FUENTES LAT,ATC
Gender
Female
Entity Type
Individual
Location Address
120 CHARLOIS BLVD WINSTON SALEM, NC 27103
Location Phone
(336) 765-5664
Location Fax
(336) 768-6713
Mailing Address
120 CHARLOIS BLVD WINSTON SALEM, NC 27103
Mailing Phone
(336) 765-5664
Mailing Fax
(336) 768-6713
Is Sole Proprietor?
No
Enumeration Date
12-22-2016
Last Update Date
12-22-2016
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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.
2075
License State
NC
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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Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Physical Therapy Assistant
120 CHARLOIS BLVD
WINSTON SALEM, NC 27103
Specialist/Technologist (Athletic Trainer)
120 CHARLOIS BLVD
WINSTON SALEM, NC 27103
Specialist/Technologist (Athletic Trainer)
120 CHARLOIS BLVD
WINSTON SALEM, NC 27103
Physical Therapist (Orthopedic)
120 CHARLOIS BLVD
WINSTON SALEM, NC 27103
Physical Therapist
120 CHARLOIS BLVD
WINSTON SALEM, NC 27103
Physical Therapist
120 CHARLOIS BLVD
WINSTON SALEM, NC 27103
Clinic/Center (Rehabilitation)
120 CHARLOIS BLVD
WINSTON SALEM, NC 27103

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174068407, enumerated as an "individual" on December 22, 2016.

The provider is located at 120 CHARLOIS BLVD WINSTON SALEM, NC 27103 and the phone number is (336) 765-5664.

Specialist/Technologist with taxonomy code 2255A2300X and a focus in Athletic Trainer.