Erik Thomas Nason, MBA, MS, ATC, CSCS

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AL820 Issued in FL

Practice address

770 W Granada Blvd
Ormond Beach, FL 32174

Phone

(321) 537-2633

NPI assigned

Jun 30, 2006

Last updated

Sep 9, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Business Administration, Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567987200000",
    "number": "1063441483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2910 JACARANDA TRL",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327805997",
            "telephone_number": "321-264-2966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 W GRANADA BLVD",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "32174",
            "telephone_number": "321-537-2633"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Ksc Rehabworks",
            "address_2": "Mail Code Bio-8",
            "address_purpose": "LOCATION",
            "city": "Kennedy Space Center",
            "state": "FL",
            "postal_code": "328990001",
            "country_code": "US",
            "telephone_number": "321-867-7497",
            "fax_number": "321-867-1144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NASON",
        "first_name": "ERIK",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "credential": "MBA, MS,  ATC, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2019-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "AL820",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ATHLETIC TRAINER",
            "identifier": "820",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Athletic Trainer in Ormond Beach, FL
• Providers in Ormond Beach, FL by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.