Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
PAULA SHIVOCK
Active
Individual
PAULA SHIVOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT ATC
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
12014120-4810
UT
2255A2300X
Athletic Trainer
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12014120-4810
LICENSED ATHLETIC TRAINER
UT
01
—
2000026336
ATHLETIC TRAINER CERTIFIED BOC
—
Enumeration date
09/23/2015
Last updated
02/24/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up