Active NPI
Amy Ralynn Gould, MAE, ATC, LAT, CES
- Athletic Trainer
- Cambridge, OH
National Provider Identifier
1841253960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT-002464
- Practice address
- 10095 Brick Church Rd
Cambridge, OH 43725-8550 - Phone
- (740) 435-2565
- NPI assigned
- Apr 10, 2006
- Last updated
- May 18, 2012
- 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 | AT-002464 | OH | Primary |
Addresses
Primary practice location
10095 Brick Church Rd
Cambridge, OH 43725-8550
Mailing address
101 Edgewood St
Saint Clairsville, OH 43950-1509
Phone (304) 559-6896
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 |
|---|---|---|---|
| AT-002464 | OH | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337299200000",
"number": "1841253960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 EDGEWOOD ST",
"city": "SAINT CLAIRSVILLE",
"state": "OH",
"postal_code": "439501509",
"telephone_number": "304-559-6896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10095 BRICK CHURCH RD",
"city": "CAMBRIDGE",
"state": "OH",
"postal_code": "437258550",
"telephone_number": "740-435-2565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOULD",
"first_name": "AMY",
"middle_name": "RALYNN",
"name_prefix": "Mrs.",
"credential": "MAE, ATC, LAT, CES",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-10",
"last_updated": "2012-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "OH",
"license": "AT-002464",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cambridge, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.