Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Benicia Elaine Cleveland, MED, LAT, ATC

Individual provider Athletic Trainer · NPI 1629212501

Benicia Elaine Cleveland, MED, LAT, ATC is an Athletic Trainer in Winston Salem, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2009
What do these letters mean?
MED — Master of Education
A graduate education degree, written M.Ed.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

1250 S Martin Luther King Jr Drive Winston-Salem State University
Winston Salem, NC 27107
Phone: (336) 750-2597
Fax: (336) 750-8880
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 1231 (NC)

Record details

NPI number1629212501
Entity typeIndividual (Type 1)
GenderFemale
Credentials MED , LAT , ATC
Sole proprietorYes
NPI enumeratedApril 23, 2009
Last updated in NPPESSeptember 13, 2011

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