Individual provider Active NPI

Adam Smith, ATC

  • Athletic Trainer
  • Richmond, VA
National Provider Identifier
1780050641
Registry record updated Aug 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
0126001381 Issued in VA
Practice address
23 Westhampton Way
Room 163; Robins Center
Richmond, VA 23173-0001
Phone
(804) 287-6523
Fax
(804) 289-8791
NPI assigned
Aug 14, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 0126001381 VA Primary

Addresses

Primary practice location

23 Westhampton Way
Room 163; Robins Center
Richmond, VA 23173-0001

Mailing address

23 Westhampton Way
Room 163; Robins Center
University of Richmond, VA 23173
Phone (804) 287-6523

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

LicenseStateTypeSpecialty
0126001381VAMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1439510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439510400000",
    "number": "1780050641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 WESTHAMPTON WAY",
            "address_2": "ROOM 163; ROBINS CENTER",
            "city": "UNIVERSITY OF RICHMOND",
            "state": "VA",
            "postal_code": "23173",
            "telephone_number": "804-287-6523",
            "fax_number": "804-289-8791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 WESTHAMPTON WAY",
            "address_2": "ROOM 163; ROBINS CENTER",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "231730001",
            "telephone_number": "804-287-6523",
            "fax_number": "804-289-8791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ADAM",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-08-14",
        "last_updated": "2015-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "VA",
            "license": "0126001381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2015; 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.