Active NPI
Ashley Greenwood, LAT
- Athletic Trainer
- Kenosha, WI
National Provider Identifier
1124583026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 2205
- Practice address
- 2001 Alford Park Dr
Kenosha, WI 53140-1994 - Phone
- (815) 922-6493
- NPI assigned
- Feb 5, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 2205 | WI | Primary |
Addresses
Primary practice location
2001 Alford Park Dr
Kenosha, WI 53140-1994
Mailing address
20326 S Grand Prairie LN
Frankfort, IL 60423-8784
Phone (815) 922-6493
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549324800000",
"number": "1124583026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20326 S GRAND PRAIRIE LN",
"city": "FRANKFORT",
"state": "IL",
"postal_code": "604238784",
"telephone_number": "815-922-6493"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 ALFORD PARK DR",
"city": "KENOSHA",
"state": "WI",
"postal_code": "531401994",
"telephone_number": "815-922-6493"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENWOOD",
"first_name": "ASHLEY",
"credential": "LAT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-02-05",
"last_updated": "2019-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "WI",
"license": "2205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kenosha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.