ARKANSAS STATE UNIVERSITY ATHLETIC TRAINING
NPI 1023000981
Specialist/Technologist - Athletic Trainer in Jonesboro, AR

Q: What is Arkansas State University Athletic Training's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

Active since August 17, 2005CLIA 04D2199117 · Waiver

2 U STREET, JONESBORO, AR 72401(870) 972-3342(870) 972-2052 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Arkansas State University Athletic Training NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ARKANSAS STATE UNIVERSITY ATHLETIC TRAINING (NPI 1023000981) is a healthcare organization registered as an athletic trainer in Jonesboro, Arkansas and active in the NPI registry since August 2005. The organization holds a CLIA Waiver certificate valid through November 4, 2026 and lists Ron Carroll, Head Athletic Trainer, as its authorized official.

NPPES Registry Identity

NPI1023000981

Entity TypeOrganization

Primary Taxonomy2255A2300X

Legal Business NameARKANSAS STATE UNIVERSITY ATHLETIC TRAINING

Location Address2 U STREETJonesboro, AR 72401

Mailing Address2 U StreetJonesboro, AR 72401 · (870) 972-3342 · Fax (870) 972-2052

Phone(870) 972-3342

Fax(870) 972-2052

Organization SubpartNo

Authorized OfficialRon CarrollHead Athletic Trainer · (870) 972-3342

Enumeration DateAugust 17, 2005

Last NPPES UpdateAugust 22, 2020

✔ NPI 1023000981 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2255A2300X

Definition

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.

2 U STREET, Jonesboro, AR 72401

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 04D2199117

Arkansas State University Sports Medicine Athletic Training · State University, AR

Active · expires Nov 4, 2026

CLIA Number04D2199117

Laboratory TypeSchool/Student Health Service

Certificate Effective DateNovember 5, 2024

Certificate Expiration DateNovember 4, 2026

Laboratory DirectorMr. Eric B. Ennis

Laboratory Phone(870) 972-3342

Laboratory LocationArkansas State University Sports Medicine Athletic Training2740 A Street Building 408, State University, AR 72467

CLIA data matches this NPI record on: Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. RON J. CARROLL LAT, ATC

Specialist/Technologist

2 U STREET
JONESBORO, AR 72401

Craighead County (870) 972-3342

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Arkansas State University Athletic Training's NPI number?

The NPI number for Arkansas State University Athletic Training is 1023000981. It was assigned to this organization in the NPPES registry on August 17, 2005.

Where is Arkansas State University Athletic Training located?

Arkansas State University Athletic Training is located at 2 U Street, Jonesboro, AR 72401. The listed phone number is (870) 972-3342.

What is Arkansas State University Athletic Training's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

Does Arkansas State University Athletic Training hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D2199117) is associated with this NPI, valid through November 4, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Arkansas State University Athletic Training was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.