Individual provider Active NPI

Latoya Hambridge, LAT, ATC

  • Athletic Trainer
  • Raleigh, NC
National Provider Identifier
1447760020
Registry record updated Mar 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
Practice address
11221 Galleria Ave Ste 101
Raleigh, NC 27614-8137
Phone
(919) 562-9410
Fax
(919) 562-9425
NPI assigned
Oct 9, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X NC Primary

Addresses

Primary practice location

11221 Galleria Ave Ste 101
Raleigh, NC 27614-8137

Mailing address

100 Corsair Dr
Morrisville, NC 27560-5714
Phone (919) 824-2112

Other practice location 1

100 Corsair Dr
Morrisville, NC 27560-5714
Phone (919) 824-2112

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

NPI Registry JSON

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

{
    "created_epoch": "1507507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679097600000",
    "number": "1447760020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CORSAIR DR",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275605714",
            "telephone_number": "919-824-2112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11221 GALLERIA AVE STE 101",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276148137",
            "telephone_number": "919-562-9410",
            "fax_number": "919-562-9425"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Corsair Dr",
            "address_purpose": "LOCATION",
            "city": "Morrisville",
            "state": "NC",
            "postal_code": "275605714",
            "country_code": "US",
            "telephone_number": "919-824-2112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMBRIDGE",
        "first_name": "LATOYA",
        "credential": "LAT, ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-09",
        "last_updated": "2023-03-18",
        "certification_date": "2023-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2023; 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.