Melissa Ann Smith, MS, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

558 Issued in SC

Practice address

438 Killian Ave RM 101
Shaw Afb, SC 29152-5046

Phone

(803) 895-1867

NPI assigned

Jul 3, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Melissa A Arrowood Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628553600000",
    "number": "1851320428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 HALLING DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292296525",
            "telephone_number": "803-800-4494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "438 KILLIAN AVE RM 101",
            "city": "SHAW AFB",
            "state": "SC",
            "postal_code": "291525046",
            "telephone_number": "803-895-1867"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "125 Firebranch St",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292123637",
            "country_code": "US",
            "telephone_number": "803-800-4494",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MELISSA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "MS, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "SC",
            "license": "558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "ARROWOOD",
            "middle_name": "A",
            "credential": "MS, ATC, SCAT, LAT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Christopher Schreiner
• Victoria Sefcsik-Revelle, DO
• Kimberly Marie Shanks, FNP
• Rebecca Sarah Slogic, M.D.
• Mallory Smith, NP
• Nathan Augustine Sollenberger, PHD
• Jessica Lauren Starnes, DMD
• Veronica Levette Stukes, APRN
• Ericniesha Taylor, LCSW-C, LICSW
• Naomi Christine Torrance, ANP

• All providers in Shaw Afb, SC
• Athletic Trainer in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2021; 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.