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Amanda M Clark , ATC, LAT

Specialist/Technologist - Athletic Trainer β€’ Ruston, LA

Active NPI 1255808085 Individual Practitioner Female Practitioner
Practice location in NPPES

2301 Timberline Ct Apt F105
Ruston, LA 71270

Call 2108273950 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2301 Timberline Ct Apt F105

Ruston, LA 71270

Telephone 2108273950
Other Listings in Public Data

NPPES lists 1 additional practice-address record in Corpus Christi, TX. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2018

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Ruston and Louisiana

13 active clinicians are listed under Specialist/Technologist - Athletic Trainer with a practice address in Ruston, LA (637 in Louisiana).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Ruston

0% of these 13 clinicians have the CMS telehealth indicator.

0% of these 13 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-03-20
Specialist/Technologist - Athletic Trainer Primary Specialty

NUCC Taxonomy Code: 2255A2300X

License # reported to NPPES LA 321844

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Louisiana State Board of Medical Examiners.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier Blue Cross Blue Shield
1255808085 (TX)

Secondary Practice Locations

309 Circle Dr

Corpus Christi, TX 784122529

Phone: 2108273950

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
πŸ‘€
Provider Name / Credentials Updated March 20, 2021

Recorded as AMANDA CLARK, ATC, LAT

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 20, 2021

Specialist/Technologist (license number reported to NPPES: LA 321844)

πŸ“
Updated Practice Location November 12, 2019

Registered at 2301 TIMBERLINE CT APT F105, RUSTON, LA 71270 (Tel: 2108273950)

πŸ“
Updated Business Mailing Address November 12, 2019

Registered at 2301 TIMBERLINE CT APT F105, RUSTON, LA 712705292 (Tel: 2108273950)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 12, 2019

Specialist/Technologist

βœ…
NPI Profile Active October 30, 2018

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) October 30, 2018

Registered at 309 CIRCLE DR, CORPUS CHRISTI, TX 784122529 (Tel: 2108273950)

πŸ“
Business Mailing Address (Initial Record) October 30, 2018

Registered at 309 CIRCLE DR, CORPUS CHRISTI, TX 784122529 (Tel: 2108273950)

πŸ‘€
Provider Name / Credentials (Initial Record) October 30, 2018

Recorded as AMANDA CLARK

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 30, 2018

Specialist/Technologist

🟒
Initial NPI Registration & Enumeration October 30, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1255808085
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 30, 2018
Last Update: March 20, 2021
Sole Proprietor: No

Mailing Address

2301 Timberline Ct Apt F105

Ruston, LA 712705292

Phone: 2108273950

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.