Active NPI
Terra Dawn Schmidt, ATC/LAT
- Athletic Trainer
- Prescott, AZ
National Provider Identifier
1912283276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 0588
- Practice address
- 1100 E Sheldon St
Prescott, AZ 86301-3220 - Phone
- (928) 776-2116
- NPI assigned
- Oct 31, 2011
- 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 | 0588 | AZ | Primary |
Addresses
Primary practice location
1100 E Sheldon St
Prescott, AZ 86301-3220
Mailing address
901 Saturn Dr
Chino Valley, AZ 86323-7118
Phone (928) 776-2116
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 |
|---|---|---|---|
| 0588 | AZ | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320019200000",
"number": "1912283276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 SATURN DR",
"city": "CHINO VALLEY",
"state": "AZ",
"postal_code": "863237118",
"telephone_number": "928-776-2116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 E SHELDON ST",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863013220",
"telephone_number": "928-776-2116"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHMIDT",
"first_name": "TERRA",
"middle_name": "DAWN",
"credential": "ATC/LAT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-31",
"last_updated": "2011-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "AZ",
"license": "0588",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Prescott, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.