Jacqueline Ann Fuentes, LAT,ATC
Athletic Trainer · Winston Salem, NC
Jacqueline Ann Fuentes, LAT,ATC is an athletic trainer with a practice address in Winston Salem, North Carolina, and NPI 1174068407, issued on Dec 22, 2016. Check the license (North Carolina 2075, as entered in NPPES) with the North Carolina board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Jacqueline Ann Fuentes
- Credential
- LAT,ATC
- Primary taxonomy
- Athletic Trainer 2255A2300X
- License number
- 2075 NC
Self-reported in NPPES; status is on the state search - Practice location
- 120 Charlois Blvd, Winston Salem, NC 27103
- Phone
- (336) 765-5664
- Enumerated
- Dec 22, 2016
- Record last updated
- Dec 22, 2016 (not updated in 10 years: call before relying on the address or phone)
- Fax
- (336) 768-6713
- Entity
- Type 1 · individual
Also registered at 120 Charlois Blvd
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Marc Asta, DPTPhysical Therapist1427504612
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- Emily Mobley, LAT, ATCAthletic Trainer1871037374
- Brittany Phillips, DPTPhysical Therapist1144044215
- Heather Surrett-VestalPhysical Therapy Assistant1144399809
Verify Jacqueline Ann Fuentes in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich North Carolina board licenses this profession
Search for license 2075Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Athletic Trainer providers in North Carolina
There are 1,633 athletic trainer records in North Carolina. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 1,633 in North Carolina → Every provider in Winston Salem →
Other athletic trainer records in North Carolina
- Evan Abatiell, MS, ATC, LATWilson, NC1508477894
- Elizabeth Abernathy, ATC, CESDenver, NC1295006385
- Jessica Achatz, ATC, LATCary, NC1255692091
- Emma AcreeWingate, NC1780456863
- Brooke Adams, ATC, LATMooresville, NC1467717512
- Lindsay Adams, ATCHigh Point, NC1437270287
- Katherine Adrian, MPH, LAT, ATCHolly Ridge, NC1700337623
- Sierra Agnew, ATCHigh Point, NC1528809225
- Matthew Aiello, ATCRaleigh, NC1225550346
- Michelle Aiken, LAT, ATCMurfreesboro, NC1154862753
Common questions
What is Jacqueline Ann Fuentes, LAT,ATC's NPI number?
Jacqueline Ann Fuentes, LAT,ATC's National Provider Identifier (NPI) is 1174068407, issued on Dec 22, 2016. An NPI identifies a provider in billing; it is not a license.
Where is Jacqueline Ann Fuentes, LAT,ATC located?
The NPPES record lists a practice address at 120 Charlois Blvd, Winston Salem, NC, 27103. Phone: (336) 765-5664. Providers update this record themselves, so call before visiting.
How can I verify Jacqueline Ann Fuentes, LAT,ATC's license?
NPPES lists North Carolina license number 2075, as entered by the provider. Search the North Carolina board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.