Active NPI
Ruth Walker-Harris, LAT,ATC, EMT-B
- Athletic Trainer
- Athens, GA
National Provider Identifier
1245795756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 1270 Highway 29 N
Athens, GA 30601-1128 - Phone
- (570) 972-7802
- NPI assigned
- Feb 8, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Basic Emergency Medical Technician | 146N00000X | GA | ||
| Athletic Trainer | 2255A2300X | Primary |
Addresses
Primary practice location
1270 Highway 29 N
Athens, GA 30601-1128
Mailing address
295 Burkland Dr
Athens, GA 30601-4090
Phone (570) 972-7802
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594425600000",
"number": "1245795756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "295 BURKLAND DR",
"city": "ATHENS",
"state": "GA",
"postal_code": "306014090",
"telephone_number": "570-972-7802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1270 HIGHWAY 29 N",
"city": "ATHENS",
"state": "GA",
"postal_code": "306011128",
"telephone_number": "570-972-7802"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER-HARRIS",
"first_name": "RUTH",
"name_prefix": "Mrs.",
"credential": "LAT,ATC, EMT-B",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-02-08",
"last_updated": "2020-07-11",
"certification_date": "2020-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "146N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Emergency Medical Technician, Basic",
"state": "GA",
"license": null,
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Athens, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.