Sarah Smith, MS, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

36003326A Issued in IN

Practice address

807 Navajo TRL
MC Gregor, TX 76657-1070

Phone

(904) 316-9723

NPI assigned

Sep 19, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Sarah Williams Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1568851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594598400000",
    "number": "1548810690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 NAVAJO TRL",
            "city": "MC GREGOR",
            "state": "TX",
            "postal_code": "766571070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 NAVAJO TRL",
            "city": "MC GREGOR",
            "state": "TX",
            "postal_code": "766571070",
            "telephone_number": "904-316-9723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SARAH",
        "credential": "MS, LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-19",
        "last_updated": "2020-07-13",
        "certification_date": "2020-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "AT7169",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IN",
            "license": "36003326A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "WILLIAMS",
            "credential": "MS, LAT, ATC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Oglesby Isd
• Redi2Go
• Alvia Robles
• Shelly Leigh Rogers-Sharer, PHD, LPC-S
• John M Shultz, DDS
• Kelsey M Thompson, D.D.S.
• Kelsi Elizabeth Wade, M.ED, BCBA, LBA
• Lynette Wilson, M.MFT, LMFT
• Jennifer N Zuri, LCSW

• All providers in MC Gregor, TX
• Athletic Trainer in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.

Verify at the official NPI Registry.