Active NPI
Clare Caroline Smith, ATC
- Athletic Trainer
- Dix Hills, NY
National Provider Identifier
1508406364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 003472-1
- Practice address
- 50 Vanderbilt Pkwy
Dix Hills, NY 11746-5816 - Phone
- (631) 300-0209
- NPI assigned
- Jan 9, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 003472-1 | NY | Primary |
Addresses
Primary practice location
50 Vanderbilt Pkwy
Dix Hills, NY 11746-5816
Mailing address
PO Box 5302
Hauppauge, NY 11788-0306
Phone (631) 300-0209
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003472-1 | NY | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578528000000",
"number": "1508406364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5302",
"city": "HAUPPAUGE",
"state": "NY",
"postal_code": "117880306",
"telephone_number": "631-300-0209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 VANDERBILT PKWY",
"city": "DIX HILLS",
"state": "NY",
"postal_code": "117465816",
"telephone_number": "631-300-0209"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "CLARE",
"middle_name": "CAROLINE",
"name_prefix": "Ms.",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-09",
"last_updated": "2020-01-09",
"certification_date": "2020-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NY",
"license": "003472-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dix Hills, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.