Individual provider Active NPI

Sidney Katelyn Ashton, LAT, ATC

  • Athletic Trainer
  • Wichita Falls, TX
National Provider Identifier
1841785169
Registry record updated Jun 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
6508 Issued in TX
Practice address
1 W Medical CT
Wichita Falls, TX 76310-1767
Phone
(940) 692-4688
Fax
(940) 692-8388
NPI assigned
Jun 28, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2018

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 6508 TX Primary

Addresses

Primary practice location

1 W Medical CT
Wichita Falls, TX 76310-1767

Mailing address

PO Box 179
Archer City, TX 76351-0179
Phone (940) 613-2096

Other practice location 1

109 W Kramer Rd
Burkburnett, TX 76354-2608
Phone (940) 569-1411

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
6508TXMDRehabilitation Chiropractor

NPI Registry JSON

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

{
    "created_epoch": "1530144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530144000000",
    "number": "1841785169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 179",
            "city": "ARCHER CITY",
            "state": "TX",
            "postal_code": "763510179",
            "telephone_number": "940-613-2096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 W MEDICAL CT",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763101767",
            "telephone_number": "940-692-4688",
            "fax_number": "940-692-8388"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "109 W Kramer Rd",
            "address_purpose": "LOCATION",
            "city": "Burkburnett",
            "state": "TX",
            "postal_code": "763542608",
            "country_code": "US",
            "telephone_number": "940-569-1411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ASHTON",
        "first_name": "SIDNEY",
        "middle_name": "KATELYN",
        "credential": "LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-28",
        "last_updated": "2018-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "6508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita Falls, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2018; 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.