MRS. BETH ANN HERRELL MS, ATC, LAT, CSCS
NPI 1619945888
Specialist/Technologist - Athletic Trainer in Fort Wayne, IN

Q: What is Beth Herrell's NPI number?

The NPI number for Beth Herrell is 1619945888. It was assigned to this individual provider in the NPPES registry on March 14, 2006.

Q: What is Beth Herrell's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Beth Herrell was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since March 14, 2006

3946 ICE WAY, FORT WAYNE, IN 46808(260) 266-4007 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2018, Jan 8, 2018, Mar 3, 2016 (3 updates tracked since 2016).

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About Mrs. Beth Ann Herrell Ms, Atc, Lat, Cscs NPPES

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

MRS. BETH ANN HERRELL MS, ATC, LAT, CSCS (NPI 1619945888) is an individual athletic trainer provider in Fort Wayne, Indiana, licensed in Indiana (36000171A) and active in the NPI registry since March 2006. She maintains a secondary practice location in Fort Wayne.

NPPES Registry Identity

NPI1619945888

Entity TypeIndividualFemale

Primary Taxonomy2255A2300X

Provider Legal NameMRS. BETH ANN HERRELLCredential: MS, ATC, LAT, CSCS

Location Address3946 ICE WAYFort Wayne, IN 46808

Mailing Address3946 Ice WayFort Wayne, IN 46808 · (260) 266-4007

Phone(260) 266-4007

Sole ProprietorNo

Enumeration DateMarch 14, 2006

Last NPPES UpdateMarch 17, 20183 updates tracked since enumeration

✔ NPI 1619945888 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

License✔ Licensed in IN · 36000171A

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.

3946 ICE WAY, Fort Wayne, IN 46808

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Secondary Practice Location 1

Location 111130 Parkview Circle DrFort Wayne, IN 46845-1735 · Phone (260) 359-4287 · Fax (260) 359-4108

Other Providers at the Same Location NPPES 15

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

ASHLEY EMERSON LAT, ATC

Specialist/Technologist (Athletic Trainer)