Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mary Nichole Tate

Individual provider Athletic Trainer · NPI 1467000414

Mary Nichole Tate is an Athletic Trainer in Humboldt, Tennessee. Practices as a sole proprietor. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
2

Practice location Address checks out

4505 E Main St
Humboldt, TN 38343-6410
Phone: (731) 420-6443
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Athletic Trainer Taxonomy 2255A2300X

Record details

NPI number1467000414
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 3, 2019
Last updated in NPPESSeptember 3, 2019

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