Jody Diane Mashinter, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT001362 Issued in WV

Practice address

2300 Maccorkle Ave SE
Charleston, WV 25304-1045

Phone

(304) 357-4814

NPI assigned

Aug 26, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jody Diane Miller Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• University of Charleston

  • Pharmacy
  • Charleston, WV
  • NPI 1023335510
  NPD (past)

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

{
    "created_epoch": "1409011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409011200000",
    "number": "1598165797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 MACCORKLE AVE SE",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253041045",
            "telephone_number": "304-357-4814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 MACCORKLE AVE SE",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253041045",
            "telephone_number": "304-357-4814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASHINTER",
        "first_name": "JODY",
        "middle_name": "DIANE",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-26",
        "last_updated": "2014-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "WV",
            "license": "AT001362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JODY",
            "last_name": "MILLER",
            "middle_name": "DIANE",
            "credential": "ATC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Yashauna Martin
• Michelle Martinez
• Wendy Jo Martinez
• Bernadette Marturano, CRNP
• Andrea Mashayekhi
• Alexis Mason
• Brianne Mason
• Kelly Crawford Mason, LPC, NCC
• Michelle Mason
• Monica Leah Mason, FNP-BC

• Athletic Trainer in Charleston, WV
• Providers in Charleston, WV by specialty
• Athletic Trainer in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2014; 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.