Kendall Paige Goldberg, MLA, ATC, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT4101 Issued in TX

Practice address

2650 W Overhill Dr
Stephenville, TX 76401-1972

Phone

(254) 552-6425

NPI assigned

Oct 27, 2011

Last updated

Oct 27, 2011By the provider in NPPES

Sex

Female

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

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

{
    "created_epoch": "1319673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319673600000",
    "number": "1851677413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "870 N CHARLOTTE AVE",
            "city": "STEPHENVILLE",
            "state": "TX",
            "postal_code": "764012811",
            "telephone_number": "940-642-9227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 W OVERHILL DR",
            "city": "STEPHENVILLE",
            "state": "TX",
            "postal_code": "764011972",
            "telephone_number": "254-552-6425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDBERG",
        "first_name": "KENDALL",
        "middle_name": "PAIGE",
        "credential": "MLA, ATC, LAT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-27",
        "last_updated": "2011-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "AT4101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jon Clark Giddings, D.D.S.
• Elizabeth Jolly Gilbert
• Lindsey Gillespie
• Leslie Shane Gilliam, MD
• Travis Gipson, PT
• Matthew Golden
• Allison Gonzalez
• Maria Victoria Gonzalez, LCSW
• John Dalton Goode, FNP-BC
• Jayci Mae Goolsby

• Athletic Trainer in Stephenville, TX
• Providers in Stephenville, TX by specialty
• Athletic Trainer in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2011; 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.