Active NPI
Samuel Wesley Richardson, MAED, ATC, LAT
- Athletic Trainer
- Sheffield, AL
National Provider Identifier
1760455836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 086
- Practice address
- 401 Cox Blvd
Unit E
Sheffield, AL 35660-4058 - Phone
- (256) 246-3490
- NPI assigned
- Feb 9, 2006
- Last updated
- Jun 29, 2009
- Sex
- Male
- Sole proprietor
- No
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 | 086 | AL | Primary |
Addresses
Primary practice location
401 Cox Blvd
Unit E
Sheffield, AL 35660-4058
Mailing address
2346 Camden CV. W.
Muscle Shoals, AL 35661-2346
Phone (256) 389-9029
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 |
|---|---|---|---|
| 086 | AL | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1246233600000",
"number": "1760455836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2346 CAMDEN CV. W.",
"city": "MUSCLE SHOALS",
"state": "AL",
"postal_code": "356612346",
"telephone_number": "256-389-9029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 COX BLVD",
"address_2": "UNIT E",
"city": "SHEFFIELD",
"state": "AL",
"postal_code": "356604058",
"telephone_number": "256-246-3490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDSON",
"first_name": "SAMUEL",
"middle_name": "WESLEY",
"name_prefix": "Mr.",
"credential": "MAED, ATC, LAT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-09",
"last_updated": "2009-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "AL",
"license": "086",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sheffield, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.