Active NPI
Mayfield Booth Armstrong, ATC
- Athletic Trainer
- Thibodaux, LA
National Provider Identifier
1174768519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- ATH. J00023
- Practice address
- 602 N Acadia Rd
Thibodaux, LA 70301-4847 - Phone
- (205) 746-2600
- Fax
- (205) 425-1594
- NPI assigned
- Dec 15, 2008
- Sex
- Male
- Sole proprietor
- No
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 | ATH. J00023 | LA | Primary |
Addresses
Primary practice location
602 N Acadia Rd
Thibodaux, LA 70301-4847
Mailing address
401 Menard St
Thibodaux, LA 70301-3519
Phone (205) 746-2600
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ATH. J00023 | LA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418947200000",
"number": "1174768519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 MENARD ST",
"city": "THIBODAUX",
"state": "LA",
"postal_code": "703013519",
"telephone_number": "205-746-2600",
"fax_number": "205-425-1594"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "602 N ACADIA RD",
"city": "THIBODAUX",
"state": "LA",
"postal_code": "703014847",
"telephone_number": "205-746-2600",
"fax_number": "205-425-1594"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARMSTRONG",
"first_name": "MAYFIELD",
"middle_name": "BOOTH",
"name_prefix": "Mr.",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-12-15",
"last_updated": "2014-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "LA",
"license": "ATH. J00023",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Thibodaux, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.