Active NPI
Ariauna C. Washington, MS, LAT, ATC, SMTC
- Athletic Trainer
- Lagrange, GA
National Provider Identifier
1447715990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT003635
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| AT003635 | GA | MD | Athletic 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.