Nathanael S Smith, ATC, CSCS

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

596 Issued in NM

Practice address

2420 Comanche Rd NE
Suite G1
Albuquerque, NM 87107-4753

Phone

(505) 554-2315

NPI assigned

Mar 24, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1269388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486598400000",
    "number": "1689998320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 DELAMAR AVE NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871075121",
            "telephone_number": "575-921-3518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2420 COMANCHE RD NE",
            "address_2": "SUITE G1",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871074753",
            "telephone_number": "505-554-2315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "NATHANAEL",
        "middle_name": "S",
        "credential": "ATC, CSCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-24",
        "last_updated": "2017-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NM",
            "license": "596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie T Smith, LMT #6275
• Melissa J. Smith, LCSW
• Moriah Unadah Smith, PMSW
• Nancy H Smith, OTR L
• Natalie Inez Smith, LMSW
• Nelson Michael Smith
• Nicholas Calvin Smith, PHARMD, RPH
• Nicholas Lee Smith
• Norm Smith, PHARMD PHC
• Patricia Smith, PATRICIA SMITH

• Athletic Trainer in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Athletic Trainer in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2017; 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.