Active NPI
Samantha Murray, LAT, ATC
- Athletic Trainer
- Boone, NC
National Provider Identifier
1548724271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- LAT4577
- Practice address
- 425 Jack Branch Dr
Boone, NC 28607 - Phone
- (828) 262-7099
- NPI assigned
- Jan 28, 2019
- Last updated
- May 5, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | |||
| Athletic Trainer | 2255A2300X | LAT4577 | NC | Primary |
Addresses
Primary practice location
425 Jack Branch Dr
Boone, NC 28607
Mailing address
4609 Onion Creek CT
Elkton, FL 32033-2066
Other practice location 1
4609 Onion Creek Ct
Elkton, FL 32033-2066
Phone (904) 874-5607
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 |
|---|---|---|---|
| LAT4577 | NC | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620172800000",
"number": "1548724271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4609 ONION CREEK CT",
"city": "ELKTON",
"state": "FL",
"postal_code": "320332066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 JACK BRANCH DR",
"city": "BOONE",
"state": "NC",
"postal_code": "28607",
"telephone_number": "828-262-7099"
}
],
"practiceLocations": [
{
"address_1": "4609 Onion Creek Ct",
"address_purpose": "LOCATION",
"city": "Elkton",
"state": "FL",
"postal_code": "320332066",
"country_code": "US",
"telephone_number": "904-874-5607",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MURRAY",
"first_name": "SAMANTHA",
"credential": "LAT, ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-01-28",
"last_updated": "2021-05-05",
"certification_date": "2021-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NC",
"license": "LAT4577",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boone, NC
- Markus Muller, RPH
- Margaret Mozingo Mullins, NP
- Shannon Mumper, OT
- Susan Elizabeth Murphey, MD
- John Edwards Murray, RPH.
- Marshall Cary Murrey, M.D.
- Music Journey Music Therapy Services of the High Country, L.L.C.
- George Eakin Naff III, MA, D.MIN, NCC, LPC
- NC DHHS Child and Family Well-Being
- Julie Reed Neal, LPA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.