Katlin Goude, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

SC041313 Issued in SD

Practice address

16 Dreamcatcher LN
Beaufort, SC 29906-8850

Phone

(843) 252-3682

NPI assigned

Apr 13, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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": "1460505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592179200000",
    "number": "1780048918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 DREAMCATCHER LN",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299068850",
            "telephone_number": "843-252-3682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 DREAMCATCHER LN",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299068850",
            "telephone_number": "843-252-3682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOUDE",
        "first_name": "KATLIN",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-13",
        "last_updated": "2020-06-15",
        "certification_date": "2020-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "SD",
            "license": "SC041313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Good Neighbor Medical Clinic
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• Barbara A Goodwin, RPH,M.S.
• Robyn Goodwine
• Christina Witt Gordon, OTR/L
• Max Husfelt Goulas, MD
• Krista Grabenbauer, LISW
• Eugene Waring Grace, D.D.S.
• Anastasia S Graham, CRDH
• Rachael Celeste Graham

• Athletic Trainer in Beaufort, SC
• Providers in Beaufort, SC by specialty
• Athletic Trainer in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2020; 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.