Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Mrs. Jacqueline Ann Fuentes, LAT,ATC

Athletic Trainer in Winston Salem, NC · enumerated 2016 · practices at Select Physical Therapy Holdings Inc.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1174068407

Verified

See something wrong? Report a correction

Registry record

Entity type Individual (Type 1)

Name Mrs. Jacqueline Ann Fuentes

Credential LAT,ATC

Sex Female

Practice address 120 Charlois Blvd, Winston Salem, NC, 27103

Phone (336) 765-5664

Fax (336) 768-6713

Enumeration date Dec 22, 2016

Last updated in NPPES Dec 22, 2016

Taxonomy & licenses

2255A2300X Athletic Trainer Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License 2075 (NC) Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Is this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

What specialty is Jacqueline Fuentes?

Jacqueline Fuentes is registered in NPPES with the primary taxonomy of Athletic Trainer. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

Other providers at this practice address

Browse all →

Select Physical Therapy Holdings Inc Rehabilitation Clinic/Center · Winston Salem, NC NPI 1689634198 Heather Surrett-Vestal Physical Therapy Assistant · Winston Salem, NC NPI 1144399809 Marc Asta Physical Therapist · Winston Salem, NC NPI 1427504612 Emily Mobley Athletic Trainer · Winston Salem, NC NPI 1871037374 Lindsey Ball Athletic Trainer · Winston Salem, NC NPI 1801310347 Josh Hogg Orthopedic Physical Therapist · Winston Salem, NC NPI 1962910752 Brittany Phillips Physical Therapist · Winston Salem, NC NPI 1144044215

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-12-22.