IndividualActive
Nicole Greene, ATC, LAT
NPI 1558708073 · Athletic Trainer · Newark, DE
Provider details
- NPI number
- 1558708073
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC, LAT
- Sex
- Female
- Sole proprietor
- Yes
- License
- AL3521 (FL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
211 Executive Dr
Suite 11
Newark, DE 19702-3357
Phone: (302) 793-1800
Street-level locationGet directions
Mailing address
75 N Fairfield Dr
Smyrna, DE 19977-1516
Registry dates
- Enumerated
- 2013-05-23
- Last updated
- 2014-01-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.