Mindy Ann Smith, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT. 001249 Issued in OH

Practice address

2241 Rombach Ave
Wilmington, OH 45177-1995

Phone

(937) 383-7722

Fax

(937) 383-0791

NPI assigned

Mar 13, 2007

Sex

Female

Sole proprietor

Yes

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": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164555199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 WALNUT STREET",
            "address_2": "PO BOX 228",
            "city": "PORT WILLIAM",
            "state": "OH",
            "postal_code": "451640228",
            "telephone_number": "937-486-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2241 ROMBACH AVE",
            "city": "WILMINGTON",
            "state": "OH",
            "postal_code": "451771995",
            "telephone_number": "937-383-7722",
            "fax_number": "937-383-0791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MINDY",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "OH",
            "license": "AT. 001249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tammy Denell Slone
• Susan Smalley
• Jerrica Kimber Smith, PTA
• Laura R Smith, CNP
• Meghan Leanne Smith
• Olivia Brielle Smith
• Brittney R Smithson, LMT
• Rachel Sneed, MD
• Donna Jo Snyder, PT
• South Central Ohio Obstetrics and Gynecology, Inc

• Athletic Trainer in Wilmington, OH
• Providers in Wilmington, OH by specialty
• Athletic Trainer in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.