Active NPI
Ayumi Shimada, MA, ATC
- Athletic Trainer
- Niagara University, NY
National Provider Identifier
1952726168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 001970-1
- Practice address
- 5795 Lewiston Rd
Niagara University Athletics
Niagara University, NY 14109 - Phone
- (716) 286-8622
- Fax
- (716) 286-8656
- NPI assigned
- Feb 25, 2014
- Last updated
- Feb 25, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 | 001970-1 | NY | Primary |
Addresses
Primary practice location
5795 Lewiston Rd
Niagara University Athletics
Niagara University, NY 14109
Mailing address
4875 W Eddy Dr Apt 218
Lewiston, NY 14092-2309
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001970-1 | NY | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393286400000",
"number": "1952726168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4875 W EDDY DR APT 218",
"city": "LEWISTON",
"state": "NY",
"postal_code": "140922309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5795 LEWISTON RD",
"address_2": "NIAGARA UNIVERSITY ATHLETICS",
"city": "NIAGARA UNIVERSITY",
"state": "NY",
"postal_code": "14109",
"telephone_number": "716-286-8622",
"fax_number": "716-286-8656"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIMADA",
"first_name": "AYUMI",
"credential": "MA, ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-02-25",
"last_updated": "2014-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NY",
"license": "001970-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Niagara University, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.