Robert Redding, ATC, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT 443 Issued in AR

Practice address

1100 Henderson St
Arkadelphia, AR 71999-0001

Phone

(979) 219-1719

NPI assigned

Aug 28, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Henderson State University

  • Family Medicine Physician
  • Arkadelphia, AR
  • NPI 1043968894
  NPD
• Henderson State University

  • Orthopaedic Surgery Physician
  • Arkadelphia, AR
  • NPI 1639571201
  NPD

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

{
    "created_epoch": "1409184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415577600000",
    "number": "1831599778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 HENDERSON ST",
            "city": "ARKADELPHIA",
            "state": "AR",
            "postal_code": "719990001",
            "telephone_number": "979-219-1719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 HENDERSON ST",
            "city": "ARKADELPHIA",
            "state": "AR",
            "postal_code": "719990001",
            "telephone_number": "979-219-1719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDING",
        "first_name": "ROBERT",
        "credential": "ATC, LAT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-08-28",
        "last_updated": "2014-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "AR",
            "license": "AT 443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keri Morgan Purifoy
• Jessica K. Putz
• R Dan Bost OD PA
• Quintin Radford
• Amber Sue Randolph
• Asombra Reed
• Sarah Jean Reeder
• Kennedy Reeves, MHPP
• Alisha Darlene Reid, M.S., ATC
• Renal Treatment Centers-Southeast, LP.

• Athletic Trainer in Arkadelphia, AR
• Providers in Arkadelphia, AR by specialty
• Athletic Trainer in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2014; 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.