Individual provider Active NPI

Sandra Janine Shultz, PHD, ATC, CSCS

  • Athletic Trainer
  • Greensboro, NC
National Provider Identifier
1184647943
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
0914 Issued in NC
Practice address
University of North Carolina at Greensboro, Dept of Ess
237B HHP BLDG
Greensboro, NC 27402
Phone
(336) 334-3027
Fax
(336) 334-3238
NPI assigned
Jul 25, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 0914 NC Primary

Addresses

Primary practice location

University of North Carolina at Greensboro, Dept of Ess
237B HHP BLDG
Greensboro, NC 27402

Mailing address

3418 Cotswold Ter
Greensboro, NC 27455-2012
Phone (336) 540-0545

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
0914NCMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184647943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3418 COTSWOLD TER",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274552012",
            "telephone_number": "336-540-0545",
            "fax_number": "335-334-3238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNIVERSITY OF NORTH CAROLINA AT GREENSBORO, DEPT OF ESS",
            "address_2": "237B HHP BLDG",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "27402",
            "telephone_number": "336-334-3027",
            "fax_number": "336-334-3238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHULTZ",
        "first_name": "SANDRA",
        "middle_name": "JANINE",
        "name_prefix": "Prof.",
        "credential": "PHD, ATC, CSCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NC",
            "license": "0914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • 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.