Racheal Marie Smith, ATC, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

36001883A Issued in IN

Practice address

1950 45TH Ave
Munster, IN 46321-3927

Phone

(219) 924-7316

NPI assigned

Dec 14, 2011

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1323820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323820800000",
    "number": "1104195593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 W 93RD PL",
            "address_2": "APT 116",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463072291",
            "telephone_number": "815-238-8415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 45TH AVE",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463213927",
            "telephone_number": "219-924-7316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "RACHEAL",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "ATC, LAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-14",
        "last_updated": "2011-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IN",
            "license": "36001883A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amillion Smith
• Amy J Smith, OT
• Angelique Smith, NP
• Jaylene Mercedes Smith
• Jennifer G Smith
• Robert Stephen Smoltz, M.D.
• Ryan Smothers
• William Frank Smutzer, DDS
• Jennifer Marie Sobek, OT
• Arman Soleymani, M.D.

• Athletic Trainer in Munster, IN
• Providers in Munster, IN by specialty
• Athletic Trainer in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.