Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Nicole Goodman, ATC, LAT

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1609224393

Nicole Goodman, ATC, LAT is a Student in an Organized Health Care Education/Training Program in Tyler, Texas. Licensed in Texas. Registered with an NPI since 2016.

Licensed in
TX
In the registry since
2016
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.

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Practice location Address checks out

13172 State Highway 64 E
Tyler, TX 75707-5340
Phone: (502) 542-0583
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence AT6334 (TX)

Record details

NPI number1609224393
Entity typeIndividual (Type 1)
GenderFemale
Credentials ATC , LAT
Sole proprietorNo
NPI enumeratedJune 2, 2016
Last updated in NPPESJune 2, 2016

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