Individual provider Active NPI

Xena Ras, ATC

  • Athletic Trainer
  • South Kingstown, RI
National Provider Identifier
1326540485
Registry record updated May 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
AT00505 Issued in RI
Practice address
730 Kingstown Rd # A14
South Kingstown, RI 02879-3011
Phone
(401) 284-3424
NPI assigned
Mar 5, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 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 AT00505 RI Primary

Addresses

Primary practice location

730 Kingstown Rd # A14
South Kingstown, RI 02879-3011

Mailing address

11 Arbutus TRL
Charlestown, RI 02813-3403

Other practice location 1

541 Main St
New London, NH 03257-7818
Phone (603) 526-3400

Other practice location 2

839 Poquonnock Rd
Groton, CT 06340-4537
Phone (860) 445-7421

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL xras@opt-ri.com Health Information Exchange (HIE)
Other URL xena.ras@workrightnw.com Health Information Exchange (HIE)

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

State licenses

LicenseStateTypeSpecialty
AT00505RIMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1520208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620000000000",
    "number": "1326540485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 ARBUTUS TRL",
            "city": "CHARLESTOWN",
            "state": "RI",
            "postal_code": "028133403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 KINGSTOWN RD # A14",
            "city": "SOUTH KINGSTOWN",
            "state": "RI",
            "postal_code": "028793011",
            "telephone_number": "401-284-3424"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "541 Main St",
            "address_purpose": "LOCATION",
            "city": "New London",
            "state": "NH",
            "postal_code": "032577818",
            "country_code": "US",
            "telephone_number": "603-526-3400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "839 Poquonnock Rd",
            "address_purpose": "LOCATION",
            "city": "Groton",
            "state": "CT",
            "postal_code": "063404537",
            "country_code": "US",
            "telephone_number": "860-445-7421",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAS",
        "first_name": "XENA",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-05",
        "last_updated": "2021-05-03",
        "certification_date": "2021-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "RI",
            "license": "AT00505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "xras@opt-ri.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "730 Kingstown Rd # A14",
            "city": "South Kingstown",
            "state": "RI",
            "country_code": "US",
            "postal_code": "028793011",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "xena.ras@workrightnw.com",
            "affiliation": "N",
            "endpointDescription": "work 2 email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "839 Poquonnock Rd",
            "city": "Groton",
            "state": "CT",
            "country_code": "US",
            "postal_code": "063404537",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in South Kingstown, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.