WILLIAM WOODS UNIVERSITY ATHLETIC TRAINING SERVICES
NPI 1114105327
Specialist/Technologist - Athletic Trainer in Fulton, MO

NPI Status: Active since February 11, 2008

Contact Information

ONE UNIVERSITY AVE
FULTON, MO
ZIP 65251
Phone: (573) 592-4388
Fax: (573) 592-4386

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  • Organization
  • Specialist/Technologist
  • Athletic Trainer
  • CLIA Number: 26D1001517
  • CLIA Cert. Type: School/Student Health Service
  • CLIA Exp. Date: 01-26-2028

About WILLIAM WOODS UNIVERSITY ATHLETIC TRAINING SERVICES

This page provides the complete NPI Profile along with additional information for William Woods University Athletic Training Services, a provider established in Fulton, Missouri operating as a Specialist/technologist, focusing in athletic trainer . The healthcare provider is registered in the NPI registry with number 1114105327 assigned on February 2008. The practitioner's primary taxonomy code is 2255A2300X with license number 2002005841 (MO). The provider is registered as an organization and their NPI record was last updated 18 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 Mrs. Amy E Haines Atcl (Head Athletic Trainer)

NPI
1114105327
Provider Name
WILLIAM WOODS UNIVERSITY ATHLETIC TRAINING SERVICES
Entity Type
Organization
Location Address
ONE UNIVERSITY AVE FULTON, MO 65251
Location Phone
(573) 592-4388
Location Fax
(573) 592-4386
Mailing Address
ONE UNIVERSITY AVE FULTON, MO 65251
Mailing Phone
(573) 592-4388
Mailing Fax
(573) 592-4386
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-11-2008
Last Update Date
02-11-2008
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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 No.
2002005841
License State
MO
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

MRS. AMY E HAINES ATCL

Authorized Official Title
HEAD ATHLETIC TRAINER
Authorized Official Phone
(573) 592-4388

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
26D1001517
Facility Type
School/Student Health Service
Certificate Effective Date
January 27, 2026
Certificate Expiration Date
January 26, 2028
Laboratory Director
KRISTEN COOK
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to William Woods University Athletic Training Services in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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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 1114105327, we treat the final digit (7) 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 43. The final step is to find the difference between that total and the next multiple of ten (50 - 43 = 7).

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
1
Unchanged
Pos 3
1
Doubled → 2
Pos 4
4
Unchanged
Pos 5
1
Doubled → 2
Pos 6
0
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
3
Unchanged
Pos 9
2
Doubled → 4
Check
7
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 1 → 2 1 → 2 5 → 10 → 1 2 → 4

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 2 + 4 + 2 + 0 + 1 + 0 + 3 + 4 + 24 = 43

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

The next multiple of ten after 43 is 50. The difference is the calculated check digit.

50 - 43 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1114105327.

Other Providers at the Same Location


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

Specialist/Technologist (Athletic Trainer)
ONE UNIVERSITY AVE
FULTON, MO 65251

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114105327, enumerated as an "organization" on February 11, 2008.

The provider is located at ONE UNIVERSITY AVE FULTON, MO 65251 and the phone number is (573) 592-4388.

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