Individual provider Active NPI

Ariauna C. Washington, MS, LAT, ATC, SMTC

  • Athletic Trainer
  • Lagrange, GA
National Provider Identifier
1447715990
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
AT003635 Issued in GA
Practice address
601 Broad St
Lagrange, GA 30240-2999
Phone
(573) 452-4606
NPI assigned
Feb 8, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X
Student in an Organized Health Care Education/Training Program 390200000X
Athletic Trainer 2255A2300X AT003635 GA Primary

Addresses

Primary practice location

601 Broad St
Lagrange, GA 30240-2999

Mailing address

71 Katherine CT
Ellerslie, GA 31807-5867
Phone (573) 452-4606

Other practice location 1

71 Katherine Ct
Ellerslie, GA 31807-5867
Phone (573) 452-4606 ext. 57345

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
AT003635GAMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1549584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1447715990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 KATHERINE CT",
            "city": "ELLERSLIE",
            "state": "GA",
            "postal_code": "318075867",
            "telephone_number": "573-452-4606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 BROAD ST",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302402999",
            "telephone_number": "573-452-4606"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "71 Katherine Ct",
            "address_purpose": "LOCATION",
            "city": "Ellerslie",
            "state": "GA",
            "postal_code": "318075867",
            "country_code": "US",
            "telephone_number": "573-452-4606 x57345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WASHINGTON",
        "first_name": "ARIAUNA",
        "middle_name": "C.",
        "credential": "MS, LAT, ATC, SMTC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-08",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "GA",
            "license": "AT003635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lagrange, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; 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.