Individual provider Active NPI

Joshua Shroyer, ATC

  • Athletic Trainer
  • Bluefield, VA
National Provider Identifier
1174915029
Registry record updated Mar 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
0126002184 Issued in VA
Practice address
3000 College Dr
Bluefield, VA 24605-1737
Phone
(276) 326-4349
Fax
(276) 326-4484
NPI assigned
Mar 2, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 0126002184 VA Primary

Addresses

Primary practice location

3000 College Dr
Bluefield, VA 24605-1737

Mailing address

3000 College Dr
Bluefield, VA 24605-1737
Phone (276) 326-4349

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

LicenseStateTypeSpecialty
0126002184VAMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1425254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425254400000",
    "number": "1174915029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 COLLEGE DR",
            "city": "BLUEFIELD",
            "state": "VA",
            "postal_code": "246051737",
            "telephone_number": "276-326-4349",
            "fax_number": "276-326-4484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 COLLEGE DR",
            "city": "BLUEFIELD",
            "state": "VA",
            "postal_code": "246051737",
            "telephone_number": "276-326-4349",
            "fax_number": "276-326-4484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHROYER",
        "first_name": "JOSHUA",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-03-02",
        "last_updated": "2015-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "VA",
            "license": "0126002184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bluefield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2015; 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.