Ashley James
Individual provider Active NPI Athletic Trainer · Niantic, CT
NPI 1003372103 · NPPES record last updated Feb 13, 2019
Key facts
- NPI
- 1003372103
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- 001204 (CT)
- Practice address
- 11 Industrial Park Rd
Niantic, CT 06357-0635 - Phone
- (860) 391-9397
- NPI assigned
- Feb 13, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001204 | CT | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 001204 | CT | Yes |
Addresses
Primary practice location
11 Industrial Park Rd
Niantic, CT 06357-0635
Mailing address
51 Church St Apt 4
Mystic, CT 06355-2745
Phone (860) 391-9397
NPI Registry JSON
{
"created_epoch": "1550016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550016000000",
"number": "1003372103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "51 CHURCH ST APT 4",
"city": "MYSTIC",
"state": "CT",
"postal_code": "063552745",
"telephone_number": "860-391-9397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 INDUSTRIAL PARK RD",
"city": "NIANTIC",
"state": "CT",
"postal_code": "063570635",
"telephone_number": "860-391-9397"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAMES",
"first_name": "ASHLEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-13",
"last_updated": "2019-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "CT",
"license": "001204",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Niantic, CT
- Christina Hekkert
- Hilary D. Goduti
- Rivka Sima Horowitz
- Stanley H. Hospod III
- Kathleen L Huffman
- Kathryn Lee Johnson
- Kenneth N Johnson
- Richard Frederick Jones III
- Kristin Marie Kenny
- Kerry Lee LCSW LLC
All providers in Niantic, CT · Athletic Trainer in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 13, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.