Individual provider Active NPI

Rachael Coover, MS, LAT, ATC

  • Athletic Trainer
  • Centerton, AR
National Provider Identifier
1740778091
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
AT947 Issued in AR
Practice address
1355 Gamble Rd
Centerton, AR 72719-4004
Phone
(479) 286-9695
NPI assigned
Apr 23, 2018
Last updated
May 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Athletic Trainer 2255A2300X NU
Athletic Trainer 2255A2300X AT947 AR Primary

Addresses

Primary practice location

1355 Gamble Rd
Centerton, AR 72719-4004

Mailing address

1355 Gamble Rd
Centerton, AR 72719-4004
Phone (479) 286-9695

Other practice location 1

1600 Campus Court
Abilene, TX 79699
Phone (479) 216-4459

Other practice location 2

201 Donaghey Ave
Conway, AR 72034-7195
Phone (479) 216-4459

Other practice location 3

201 Donaghey Ave
Conway, AR 72034-7195
Phone (479) 216-4459

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
AT947ARMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1524441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747785600000",
    "number": "1740778091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 GAMBLE RD",
            "city": "CENTERTON",
            "state": "AR",
            "postal_code": "727194004",
            "telephone_number": "479-286-9695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 GAMBLE RD",
            "city": "CENTERTON",
            "state": "AR",
            "postal_code": "727194004",
            "telephone_number": "479-286-9695"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 Campus Court",
            "address_purpose": "LOCATION",
            "city": "Abilene",
            "state": "TX",
            "postal_code": "79699",
            "country_code": "US",
            "telephone_number": "479-216-4459",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 Donaghey Ave",
            "address_purpose": "LOCATION",
            "city": "Conway",
            "state": "AR",
            "postal_code": "720347195",
            "country_code": "US",
            "telephone_number": "479-216-4459",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 Donaghey Ave",
            "address_purpose": "LOCATION",
            "city": "Conway",
            "state": "AR",
            "postal_code": "720347195",
            "country_code": "US",
            "telephone_number": "479-216-4459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOVER",
        "first_name": "RACHAEL",
        "credential": "MS, LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-23",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "AR",
            "license": "AT947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centerton, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2025; 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.