Carly Renae Mayfield, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

004951 Issued in OH

Practice address

100 W Main St
Springfield, OH 45502-1312

Phone

(937) 521-3900

NPI assigned

Jul 27, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Carly Renae Gregory Former name

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": "1469577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469577600000",
    "number": "1477006278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 E MAIN ST STE 3B",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455021367",
            "telephone_number": "937-408-0238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W MAIN ST",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455021312",
            "telephone_number": "937-521-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYFIELD",
        "first_name": "CARLY",
        "middle_name": "RENAE",
        "name_prefix": "Mrs.",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-27",
        "last_updated": "2016-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "OH",
            "license": "004951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARLY",
            "last_name": "GREGORY",
            "middle_name": "RENAE",
            "prefix": "MISS",
            "credential": "ATC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amy May
• Carrie B May, RN
• Lydia May
• Tammy May, BSBA, DSP
• Tori May
• Courtney Maynard, DDS
• Nancy Arlene Mayo, MSW, LSW
• Breanna L Mays
• Jessica McBrayer, CDCA
• Anne Elizabeth McBride, M.S., CF-SLP

• Athletic Trainer in Springfield, OH
• Providers in Springfield, OH by specialty
• Athletic Trainer in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2016; 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.