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

Mrs. Nicole Marie Shaffer, ATC

Individual provider Athletic Trainer · NPI 1669992566

Mrs. Nicole Marie Shaffer, ATC is an Athletic Trainer in Dixon, Illinois. Licensed in Illinois. Registered with an NPI since 2017.

Licensed in
IL
In the registry since
2017
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

650 Reynoldswood Rd
Dixon, IL 61021
Phone: (815) 677-1660
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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 096.004407 (IL)

Record details

NPI number1669992566
Entity typeIndividual (Type 1)
GenderFemale
Credentials ATC
Sole proprietorNo
NPI enumeratedJune 21, 2017
Last updated in NPPESJuly 21, 2022

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