Individual provider Active NPI

Amber Rose Schlinsog, LAT, ATC

  • Athletic Trainer
  • Salisbury, NC
National Provider Identifier
1811680325
Registry record updated May 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
LAT-2519 Issued in NC
Practice address
1910 Jake Alexander Blvd W Ste 202
Salisbury, NC 28147-1165
Phone
(704) 603-1450
Fax
(704) 603-1542
NPI assigned
May 31, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2023

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 LAT-2519 NC Primary

Addresses

Primary practice location

1910 Jake Alexander Blvd W Ste 202
Salisbury, NC 28147-1165

Mailing address

1910 Jake Alexander Blvd W Ste 202
Salisbury, NC 28147-1165

Other names 1

  • Amber Rose Dedoming Former name

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
LAT-2519NCMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1685491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685491200000",
    "number": "1811680325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 JAKE ALEXANDER BLVD W STE 202",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281471165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 JAKE ALEXANDER BLVD W STE 202",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281471165",
            "telephone_number": "704-603-1450",
            "fax_number": "704-603-1542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHLINSOG",
        "first_name": "AMBER",
        "middle_name": "ROSE",
        "credential": "LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-31",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NC",
            "license": "LAT-2519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMBER",
            "last_name": "DEDOMING",
            "middle_name": "ROSE",
            "credential": "LAT, ATC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Salisbury, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; 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.