Courtney Rae Smith, BS, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT.0000891 Issued in CO

Practice address

146 Bill Davis Rd
Franktown, CO 80116-8900

Phone

(720) 318-3028

NPI assigned

Jun 29, 2018

Last updated

Jun 29, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

State licenses

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

{
    "created_epoch": "1530230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530230400000",
    "number": "1275028474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 BILL DAVIS RD",
            "city": "FRANKTOWN",
            "state": "CO",
            "postal_code": "801168900",
            "telephone_number": "720-318-3028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 BILL DAVIS RD",
            "city": "FRANKTOWN",
            "state": "CO",
            "postal_code": "801168900",
            "telephone_number": "720-318-3028"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "525 Commanche St",
            "address_purpose": "LOCATION",
            "city": "Kiowa",
            "state": "CO",
            "postal_code": "80117",
            "country_code": "US",
            "telephone_number": "303-621-2115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "COURTNEY",
        "middle_name": "RAE",
        "credential": "BS, ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-29",
        "last_updated": "2018-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CO",
            "license": "AT.0000891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Athletic Trainer in Franktown, CO
• Providers in Franktown, CO by specialty
• Athletic Trainer in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2018; 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.