Individual provider Active NPI

Ashley Dawn Struble, MS, LAT, ATC

  • Athletic Trainer
  • Bellefonte, PA
National Provider Identifier
1487381208
Registry record updated Aug 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
RT007297 Issued in PA
Practice address
1680 Zion Rd
Bellefonte, PA 16823-9141
Phone
(814) 355-5660
NPI assigned
Aug 2, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2022

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 RT007297 PA Primary

Addresses

Primary practice location

1680 Zion Rd
Bellefonte, PA 16823-9141

Mailing address

128 Kreitzer Ave
Centre Hall, PA 16828-8616
Phone (814) 308-3342

Other practice location 1

128 Kreitzer Ave
Centre Hall, PA 16828-8616
Phone (814) 308-3342

Other practice location 2

751 S Eagle Valley Rd
Bellefonte, PA 16823-4740
Phone (814) 308-3342

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
RT007297PAMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1659398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1487381208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 KREITZER AVE",
            "city": "CENTRE HALL",
            "state": "PA",
            "postal_code": "168288616",
            "telephone_number": "814-308-3342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 ZION RD",
            "city": "BELLEFONTE",
            "state": "PA",
            "postal_code": "168239141",
            "telephone_number": "814-355-5660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "128 Kreitzer Ave",
            "address_purpose": "LOCATION",
            "city": "Centre Hall",
            "state": "PA",
            "postal_code": "168288616",
            "country_code": "US",
            "telephone_number": "814-308-3342",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "751 S Eagle Valley Rd",
            "address_purpose": "LOCATION",
            "city": "Bellefonte",
            "state": "PA",
            "postal_code": "168234740",
            "country_code": "US",
            "telephone_number": "814-308-3342",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STRUBLE",
        "first_name": "ASHLEY",
        "middle_name": "DAWN",
        "name_prefix": "Miss",
        "credential": "MS, LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-02",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "PA",
            "license": "RT007297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellefonte, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; 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.