Heather Marilyn McGoldrick, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

2949 Portage Bay W Apt 159
Davis, CA 95616-2871

Phone

(916) 622-3443

NPI assigned

Feb 1, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1675209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675209600000",
    "number": "1447956438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5025 BRADFORD DR",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "957655325",
            "telephone_number": "916-622-3443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2949 PORTAGE BAY W APT 159",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956162871",
            "telephone_number": "916-622-3443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGOLDRICK",
        "first_name": "HEATHER",
        "middle_name": "MARILYN",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-01",
        "last_updated": "2023-02-01",
        "certification_date": "2023-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffery P. McCormick, MSPT
• Annamaria McCoy, MD
• Stephen A. McCurdy, MD
• Jill McElroy
• Christine McGiffert
• Catherine Ann McGovern
• Leslie D McGregor, PTA
• Gaia Jeanne Bouchard-Hall McGrew, PT
• Laili June McGrew, LCSW
• Suzanne Kay McKenna-Stukas, MS OTR

• Athletic Trainer in Davis, CA
• Providers in Davis, CA by specialty
• Athletic Trainer in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.