Active NPI
Amber Rose Schlinsog, LAT, ATC
- Athletic Trainer
- Salisbury, NC
National Provider Identifier
1811680325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- LAT-2519
- 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
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 | 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
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 |
|---|---|---|---|
| LAT-2519 | NC | MD | Athletic 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.