Ashley Francis Wollam, ATC, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

6732817-4810 Issued in UT

Practice address

3155 S Hidden Valley Dr
Unit #343
St George, UT 84790-6671

Phone

(253) 370-8589

NPI assigned

Nov 28, 2011

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1322438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322438400000",
    "number": "1427325984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 S 700 E",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847703875",
            "telephone_number": "253-370-8589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3155 S HIDDEN VALLEY DR",
            "address_2": "UNIT #343",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847906671",
            "telephone_number": "253-370-8589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLLAM",
        "first_name": "ASHLEY",
        "middle_name": "FRANCIS",
        "credential": "ATC, LAT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-28",
        "last_updated": "2011-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "UT",
            "license": "6732817-4810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL ATHLETIC TRAINERS' ASSOCIATION BOARD OF CERTIFICATION",
            "identifier": "120602020",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christoph T Woerlein, MD
• Madison Wogksch
• Shonnie Wolcott
• Tayler Mychele Wolfe
• Annabella Kristine Wolfert
• Klayton Wolsey
• Teyawna Wombaker
• Women's Wellness, LLC
• Alice M. Wong, MD
• Gayle Wong, M.D.

• Athletic Trainer in St George, UT
• Providers in St George, UT by specialty
• Athletic Trainer in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2011; 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.