Active NPI
Ashley Goodman, LAT, ATC
- Athletic Trainer
- Boone, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 517
- Practice address
- 1179 State Farm Rd
Boone, NC 28607-4943 - Phone
- (828) 262-7711
- NPI assigned
- Sep 25, 2006
- Last updated
- Jan 15, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 | 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Appalachian State University | Current | Accepting new patients | |
| Appalachian State University | Past | 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.
-
dba Appalachian Institute for Health and Wellness
- Family Medicine Physician
- Boone, NC
- NPI 1376794255
-
dba Communication Disorders Clinic
- Hearing and Speech Clinic/Center
- Boone, NC
- NPI 1851387286
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
- Goldman Center for Facial Plastic Surgery PLLC
- Neal D Goldman, MD
- Sonya Carlton Golini, FNP-BC
- Angela Margaret Gonder, RN, MSN, FNP-C
- Amanda Elizabeth Goodman, PHARMD
- Karen Winston Goodman, ANP
- Christine Miskinis Goodrich, LPA
- John Wright Goodrich, PT
- Michael S Goopta, L. AC.
- Gordon & Gordon, DMD, PA (Gordon Dental Group)
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.