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

NPI Status: Active since August 17, 2005

Contact Information

2 U STREET
JONESBORO, AR
ZIP 72401
Phone: (870) 972-3342
Fax: (870) 972-2052

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  • Organization
  • Specialist/Technologist
  • Athletic Trainer
  • CLIA Number: 04D2199117
  • CLIA Cert. Type: School/Student Health Service
  • CLIA Exp. Date: 11-04-2026

About ARKANSAS STATE UNIVERSITY ATHLETIC TRAINING

This page provides the complete NPI Profile along with additional information for Arkansas State University Athletic Training, a provider established in Jonesboro, Arkansas operating as a Specialist/technologist, focusing in athletic trainer . The healthcare provider is registered in the NPI registry with number 1023000981 assigned on August 2005. The practitioner's primary taxonomy code is 2255A2300X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Ron Carroll Atc, Lat (Head Athletic Trainer)

NPI
1023000981
Provider Name
ARKANSAS STATE UNIVERSITY ATHLETIC TRAINING
Entity Type
Organization
Location Address
2 U STREET JONESBORO, AR 72401
Location Phone
(870) 972-3342
Location Fax
(870) 972-2052
Mailing Address
2 U STREET JONESBORO, AR 72401
Mailing Phone
(870) 972-3342
Mailing Fax
(870) 972-2052
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-17-2005
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist/Technologist Athletic Trainer

Taxonomy Code
2255A2300X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License State
AR
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

RON CARROLL ATC, LAT

Authorized Official Title
HEAD ATHLETIC TRAINER
Authorized Official Phone
(870) 972-3342

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
04D2199117
Facility Type
School/Student Health Service
Certificate Effective Date
November 05, 2024
Certificate Expiration Date
November 04, 2026
Laboratory Director
MR. ERIC B. ENNIS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Arkansas State University Athletic Training to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1023000981, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 49. The final step is to find the difference between that total and the next multiple of ten (50 - 49 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
2
Doubled → 4
Pos 4
3
Unchanged
Pos 5
0
Doubled → 0
Pos 6
0
Unchanged
Pos 7
0
Doubled → 0
Pos 8
9
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 0 → 0 0 → 0 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 4 + 3 + 0 + 0 + 0 + 9 + 1 + 6 + 24 = 49

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 49 is 50. The difference is the calculated check digit.

50 - 49 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1023000981.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Specialist/Technologist
2 U STREET
JONESBORO, AR 72401

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023000981, enumerated as an "organization" on August 17, 2005.

The provider is located at 2 U STREET JONESBORO, AR 72401 and the phone number is (870) 972-3342.

Specialist/Technologist with taxonomy code 2255A2300X and a focus in Athletic Trainer.