AMANDA NYSTROM LAT, ATC
NPI 1730666850
Specialist/Technologist - Athletic Trainer in Fayetteville, NC

Active since July 21, 2018
5400 RAMSEY ST, FAYETTEVILLE, NC 28311(910) 630-7000 Get Directions Write a Review

NPPES record last updated: September 16, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 16, 2024, Nov 23, 2019, Jul 21, 2018 (3 updates tracked since 2018).

About Amanda Nystrom Lat, Atc NPPES

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

AMANDA NYSTROM LAT, ATC (NPI 1730666850) is an individual athletic trainer provider in Fayetteville, North Carolina, licensed in Florida (AL5844) and active in the NPI registry since July 2018.

NPPES Registry Identity

NPI1730666850
Entity TypeIndividualFemale
Primary Taxonomy2255A2300X
Provider Legal NameAMANDA NYSTROMCredential: LAT, ATC
Location Address5400 RAMSEY STFayetteville, NC 28311-1420
Mailing Address174 Allegiance StRaeford, NC 28376-6926
Sole ProprietorNo
Enumeration DateJuly 21, 2018
Last NPPES UpdateSeptember 16, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2024
NPI 1730666850 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 FL · AL5844
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.
5400 RAMSEY ST, Fayetteville, NC 28311

Other Names 1

Former Name (1)Amanda Nystrom Lat, Atc

Other Providers at the Same Location NPPES 13

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

Specialist/Technologist (Athletic Trainer)
5400 RAMSEY ST
FAYETTEVILLE, NC 28311
Specialist/Technologist (Athletic Trainer)
5400 RAMSEY ST
FAYETTEVILLE, NC 28311
Counselor (Mental Health)
5400 RAMSEY ST, PEARCE HALL
FAYETTEVILLE, NC 28311
Counselor (Mental Health)
5400 RAMSEY ST
FAYETTEVILLE, NC 28311
Specialist/Technologist (Athletic Trainer)
5400 RAMSEY ST
FAYETTEVILLE, NC 28311
Physical Therapist (Orthopedic)
5400 RAMSEY ST
FAYETTEVILLE, NC 28311
Physician Assistant
5400 RAMSEY ST
FAYETTEVILLE, NC 28311
Specialist/Technologist (Athletic Trainer)
5400 RAMSEY ST
FAYETTEVILLE, NC 28311

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 Amanda Nystrom's NPI number?

The NPI number for Amanda Nystrom is 1730666850. It was assigned to this individual provider in the NPPES registry on July 21, 2018. The provider is also known as Amanda Nystrom Lat, Atc.

Where is Amanda Nystrom located?

Amanda Nystrom practices at 5400 Ramsey St, Fayetteville, NC 28311. The listed phone number is (910) 630-7000.

What is Amanda Nystrom'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 Amanda Nystrom was last updated on September 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.