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Active NPI 1346519774 Individual Practitioner Male Practitioner

Andrew Martin Stull , ATC

Specialist/Technologist - Athletic Trainer • Williston, VT

Professional Overview & Biography Verified Profile Summary

Andrew Stull, ATC is a registered healthcare professional specializing in Specialist/Technologist - Athletic Trainer in Williston, VT. Practice services are available at 28 PARK AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

28 Park Ave

Williston, VT 054959701

Telephone 8028781008
Associated Practice Facility / Clinic
🏢 Mainspring Health, Inc. Facility NPI 1215009949

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist/Technologist - Athletic Trainer in Williston, VT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 2.0 Yrs
Regional Practice Density
17 Specialists

Practicing in Williston, VT (191 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-02-14
Specialist/Technologist - Athletic Trainer Primary Specialty

NUCC Taxonomy Code: 2255A2300X

State License VT 104.0133941

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

21 Associated Practitioners
Dr. Lauren Adams , MD

Family Medicine

NPI 1023695194

Doctor of Medicine (M.D.)

Nancy Resi , FNP

Family Medicine

NPI 1134144124

Family Nurse Practitioner

Dr. Rebecca Joyce , MD

Family Medicine

NPI 1134387244

Doctor of Medicine (M.D.)

Dr. Paul Reiss , MD

Family Medicine

NPI 1275628158

Doctor of Medicine (M.D.)

Danielle Beaudoin , AGNP

Nurse Practitioner - Adult Health

NPI 1326497306

Adult-Gerontology Nurse Practitioner

NPI 1336158252

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
📍
Updated Practice Location February 15, 2022

Registered at 28 PARK AVE, WILLISTON, VT 054959701 (Tel: 8028781008)

📍
Updated Business Mailing Address February 15, 2022

Registered at 28 PARK AVE, WILLISTON, VT 054959701 (Tel: 8028781008)

📍
Updated Business Mailing Address December 29, 2020

Registered at 158 HARMON DR, NORTHFIELD, VT 056631000 (Tel: 8024852000)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 29, 2020

Specialist/Technologist (License #104.0133941 in VT)

📍
Updated Practice Location November 30, 2018

Registered at INDOOR SPORTS COMPLEX 100 NICOLLS RD, STONY BROOK, NY 117940001 (Tel: 6316327207)

📍
Updated Business Mailing Address November 30, 2018

Registered at INDOOR SPORTS COMPLEX 100 NICOLLS RD, STONY BROOK, NY 117940001 (Tel: 6316327207)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 30, 2018

Specialist/Technologist (License #0026721 in NY)

NPI Profile Active December 13, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location December 13, 2011

Registered at SW RECREATION CTR, 140E SWRC, GAINESVILLE, FL 326112760 (Tel: 3522732439)

📍
Updated Business Mailing Address December 13, 2011

Registered at SW RECREATION CTR, 140E SWRC, GAINESVILLE, FL 326112760 (Tel: 3522732439)

👤
Provider Name / Credentials Updated December 13, 2011

Recorded as ANDREW STULL, ATC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 13, 2011

Specialist/Technologist (License #AL3145 in FL)

🟢
Initial NPI Registration & Enumeration December 13, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1346519774
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 13, 2011
Last Update: February 15, 2022
Sole Proprietor: Yes

Mailing Address

28 Park Ave

Williston, VT 054959701

Phone: 8028781008

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.