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NOAH MIKAEL DAVIS MS, LAT, ATC
NPI 1407646805
Specialist/Technologist - Athletic Trainer in Charleston, IL

Active since May 08, 2025
600 LINCOLN AVE, CHARLESTON, IL 61920(618) 554-8410 Get Directions Write a Review

NPPES record last updated: May 8, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Noah Mikael Davis Ms, Lat, Atc NPPES

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

NOAH MIKAEL DAVIS MS, LAT, ATC (NPI 1407646805) is an individual athletic trainer provider in Charleston, Illinois and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1407646805
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameNOAH MIKAEL DAVISCredential: MS, LAT, ATC
Location Address600 LINCOLN AVECharleston, IL 61920-3099
Mailing Address2020 10th St Apt 102Charleston, IL 61920-3436 · (618) 554-8410
Phone(618) 554-8410
Sole ProprietorNo
Enumeration DateMay 8, 2025
NPPES CertifiedMay 8, 2025
✔ NPI 1407646805 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.
600 LINCOLN AVE, Charleston, IL 61920
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Other Providers at the Same Location NPPES 20

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

JEHAN AYAP
Specialist/Technologist (Athletic Trainer)
600 LINCOLN AVE
CHARLESTON, IL 61920
Coles County (217) 581-3811
HANNAH CROWLEY
Speech-Language Pathologist
600 LINCOLN AVE
CHARLESTON, IL 61920
Coles County (271) 581-2712
MISS MICHAELA ELIZABETH DESANTIS ATC
Specialist/Technologist (Athletic Trainer)
600 LINCOLN AVE
CHARLESTON, IL 61920
Coles County (217) 581-3811
EASTERN ILLINOIS UNIVERSITY HEALTH SERVICE
Clinic/Center (Student Health)
600 LINCOLN AVE, EASTERN ILLINOIS UNIVERSITY
CHARLESTON, IL 61920
Coles County (217) 581-3015
MR. BRYAN K CALLAWAY FNP
Nurse Practitioner (Family)
600 LINCOLN AVE
CHARLESTON, IL 61920
Coles County (217) 581-3015
ALLISON BERTRAND
Student in an Organized Health Care Education/Training Program
600 LINCOLN AVE
CHARLESTON, IL 61920
Coles County (217) 581-2712
KYRRAH RAE RANDOLPH ATC
Specialist/Technologist (Athletic Trainer)
600 LINCOLN AVE
CHARLESTON, IL 61920
Coles County (217) 581-5000
MRS. BECKY K OGLE FNP-BC
Nurse Practitioner (Family)
600 LINCOLN AVE
CHARLESTON, IL 61920
Coles County (217) 581-7015

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 Noah Davis's NPI number?

The NPI number for Noah Davis is 1407646805. It was assigned to this individual provider in the NPPES registry on May 8, 2025.

Where is Noah Davis located?

Noah Davis practices at 600 Lincoln Ave, Charleston, IL 61920. The listed phone number is (618) 554-8410.

What is Noah Davis'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 Noah Davis was last updated on May 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.