Gregory Michael Raimondo, MS, ATC, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2491 Issued in TN

Practice address

1301 E Main St
Murfreesboro, TN 37132-2434

Phone

(615) 898-2233

NPI assigned

Jul 6, 2015

Last updated

Sep 16, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1436140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568592000000",
    "number": "1407239734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 N TENNESSEE BLVD APT 813B",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371304494",
            "telephone_number": "440-623-1949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 E MAIN ST",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371322434",
            "telephone_number": "615-898-2233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAIMONDO",
        "first_name": "GREGORY",
        "middle_name": "MICHAEL",
        "credential": "MS, ATC, LAT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-06",
        "last_updated": "2019-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "OH",
            "license": "AT005508",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MO",
            "license": "2017022932",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TN",
            "license": "2491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachary Lane Ragan, LADAC II
• Melissa Sara Ragheb, PHARMD.
• Bishoy Ragheb,RPH,Pharmd,Bcacp, PHARMD.
• Tabitha Ragland, PHARM.D.
• Alexandra Tyme Ragle
• Allison J Rainey, NP
• Rachel Elizabeth Rains
• Patthana Rajvong
• Darren Keith Raleigh
• Tara Ralph, D.O.

• Athletic Trainer in Murfreesboro, TN
• Providers in Murfreesboro, TN by specialty
• Athletic Trainer in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2019; 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.