Active NPI
Ashley Nicole Moman, ATC
- Athletic Trainer
- Richmond, IN
National Provider Identifier
1386911154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT.003234
- Practice address
- 801 National Rd West
Richmond, IN 47347 - Phone
- (765) 983-1741
- Fax
- (765) 983-1446
- NPI assigned
- Nov 22, 2011
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AT.003234 | OH | Primary |
| Athletic Trainer | 2255A2300X | 36001719A | IN |
Addresses
Primary practice location
801 National Rd West
Richmond, IN 47347
Mailing address
2021 Chester Blvd
Richmond, IN 47374
Phone (765) 983-3092
Other names 1
- Ashley Nicole Camp
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
| License | State | Type | Specialty |
|---|---|---|---|
| 36001719A | IN | MD | Athletic Trainer |
| AT.003234 | OH | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331856000000",
"number": "1386911154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2021 CHESTER BLVD",
"city": "RICHMOND",
"state": "IN",
"postal_code": "47374",
"telephone_number": "765-983-3092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 NATIONAL RD WEST",
"city": "RICHMOND",
"state": "IN",
"postal_code": "47347",
"telephone_number": "765-983-1741",
"fax_number": "765-983-1446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOMAN",
"first_name": "ASHLEY",
"middle_name": "NICOLE",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-22",
"last_updated": "2012-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "OH",
"license": "AT.003234",
"primary": true
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "IN",
"license": "36001719A",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ASHLEY",
"last_name": "CAMP",
"middle_name": "NICOLE",
"credential": "ATC",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Richmond, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.