Active NPI
Anita Lynne Groover-Smith, LAT/ATC
- Athletic Trainer
- Mifflintown, PA
National Provider Identifier
1679987325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- RT001192A
- Practice address
- 3931 William Penn Highway
Juniata High School
Mifflintown, PA 17059 - Phone
- (717) 436-2193
- Fax
- (717) 436-2858
- NPI assigned
- Jun 19, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | RT001192A | PA | Primary |
Addresses
Primary practice location
3931 William Penn Highway
Juniata High School
Mifflintown, PA 17059
Mailing address
3931 William Penn Highway
Juniata High School
Mifflintown, PA 17059
Phone (717) 436-2193
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 |
|---|---|---|---|
| RT001192A | PA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403222400000",
"number": "1679987325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3931 WILLIAM PENN HIGHWAY",
"address_2": "JUNIATA HIGH SCHOOL",
"city": "MIFFLINTOWN",
"state": "PA",
"postal_code": "17059",
"telephone_number": "717-436-2193",
"fax_number": "717-436-2858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3931 WILLIAM PENN HIGHWAY",
"address_2": "JUNIATA HIGH SCHOOL",
"city": "MIFFLINTOWN",
"state": "PA",
"postal_code": "17059",
"telephone_number": "717-436-2193",
"fax_number": "717-436-2858"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROOVER-SMITH",
"first_name": "ANITA",
"middle_name": "LYNNE",
"credential": "LAT/ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-06-19",
"last_updated": "2014-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "PA",
"license": "RT001192A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mifflintown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.