Jay Joseph Davide, LAT

Athletic Trainer · Appleton, WI

Individual Active NPI

NPI number 1477515989

Practice location

820 E Grant St
Appleton, WI 54911-3483
Phone
(920) 716-8137

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NPI record

NPI
1477515989
Entity type
Individual (Type 1)
Enumeration date
April 3, 2006
Last updated
July 13, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Athletic Trainer Primary 2255A2300X 164039 WI

Mailing address

1191 Trailwood Dr
De Pere, WI 54115-1045
Phone
(920) 339-0233

About Jay Davide

Jay Joseph Davide, LAT is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 820 E Grant St, Appleton, WI 54911-3483. The NPI number 1477515989 was assigned on April 3, 2006 and the record was last updated on July 13, 2026.

Jay Davide lists a license in the registry: #164039 (WI) for Athletic Trainer. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jay Joseph Davide, LAT?

The NPI number is 1477515989.

What is the phone number of Jay Davide?

The phone number listed for the practice location is (920) 716-8137.

Where is Jay Davide located?

820 E Grant St, Appleton, WI 54911-3483.

What is the taxonomy code for Jay Davide?

The primary taxonomy code is 2255A2300X – Athletic Trainer.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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