Krista Taylor Goodnight
Individual provider Active NPI Athletic Trainer · Moseley, VA
NPI 1801608682 · NPPES record last updated Jan 21, 2025
Key facts
- NPI
- 1801608682
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- Practice address
- 18230 Twin Falls LN
Moseley, VA 23120-1844 - Phone
- (804) 402-2412
- NPI assigned
- Jan 21, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | Yes |
Addresses
Primary practice location
18230 Twin Falls LN
Moseley, VA 23120-1844
Mailing address
18230 Twin Falls LN
Moseley, VA 23120-1844
Phone (804) 402-2412
Other providers in Moseley, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 21, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.