Individual provider Active NPI

Ashley Goodman, LAT, ATC

  • Athletic Trainer
  • Boone, NC
National Provider Identifier
1235230160
Registry record updated Jan 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
517 Issued in SC
Practice address
1179 State Farm Rd
Boone, NC 28607-4943
Phone
(828) 262-7711
NPI assigned
Sep 25, 2006
Last updated
Jan 15, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2021

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 517 SC Primary

Addresses

Primary practice location

1179 State Farm Rd
Boone, NC 28607-4943

Mailing address

9 Twin Oaks Cir
Columbia, SC 29209-4240
Phone (803) 647-0512

Other practice location 1

University Of South Carolina Athletic Training
Blatt PE Center, Room 218
Columbia, SC 29208-0001
Phone (803) 777-2540

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

Practice roles

OrganizationSpecialtyStatusNew patients
Appalachian State University CurrentSince Jun 9, 2024 Accepting new patients
Appalachian State University PastSince Jan 17, 2021 Accepting new patients

Locations

1179 State Farm Rd
Boone, NC 28607
Phone (828) 262-7711

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610668800000",
    "number": "1235230160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 TWIN OAKS CIR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292094240",
            "telephone_number": "803-647-0512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1179 STATE FARM RD",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286074943",
            "telephone_number": "828-262-7711"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "University Of South Carolina Athletic Training",
            "address_2": "Blatt PE Center, Room 218",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292080001",
            "country_code": "US",
            "telephone_number": "803-777-2540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "ASHLEY",
        "name_prefix": "Dr.",
        "credential": "LAT, ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "SC",
            "license": "517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boone, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2021; 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.