Individual provider Active NPI

Christopher Matthew Smith, ATC

  • Athletic Trainer
  • Harrisonburg, VA
National Provider Identifier
1376880880
Registry record updated Jan 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
0126000243 Issued in VA
Practice address
261 Bluestone Dr MSC 2301 Godwin HL RM 128
261 Bluestone Dr MSC 2301 Godwin Hall Room 128
Harrisonburg, VA 22807-0001
Phone
(540) 568-5847
NPI assigned
Jan 4, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2013

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 0126000243 VA Primary

Addresses

Primary practice location

261 Bluestone Dr MSC 2301 Godwin HL RM 128
261 Bluestone Dr MSC 2301 Godwin Hall Room 128
Harrisonburg, VA 22807-0001

Mailing address

261 Bluestone Dr MSC 2301 Godwin HL RM 128
James Madison University
Harrisonburg, VA 22807-0001
Phone (540) 568-5847

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
0126000243VAMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1357257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357257600000",
    "number": "1376880880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 BLUESTONE DR MSC 2301 GODWIN HL RM 128",
            "address_2": "JAMES MADISON UNIVERSITY",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228070001",
            "telephone_number": "540-568-5847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 BLUESTONE DR MSC 2301 GODWIN HL RM 128",
            "address_2": "261 BLUESTONE DR MSC 2301 GODWIN HALL ROOM 128",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228070001",
            "telephone_number": "540-568-5847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CHRISTOPHER",
        "middle_name": "MATTHEW",
        "name_prefix": "Mr.",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-01-04",
        "last_updated": "2013-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "VA",
            "license": "0126000243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisonburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2013; 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.