Elizabeth Drake, EDD, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

1400 Highland Ctr
Mankato, MN 56001-6537

Phone

(507) 389-1656

NPI assigned

May 7, 2007

Last updated

Jun 22, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gustavus Adolphus College

  • Family Nurse Practitioner
  • Saint Peter, MN
  • NPI 1508911330
  NPD (past)

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624320000000",
    "number": "1083827042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 W COLLEGE AVE",
            "city": "SAINT PETER",
            "state": "MN",
            "postal_code": "560821485",
            "telephone_number": "651-335-7913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 HIGHLAND CTR",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560016537",
            "telephone_number": "507-389-1656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAKE",
        "first_name": "ELIZABETH",
        "name_prefix": "Prof.",
        "credential": "EDD, LAT, ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-07",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dovetail Traslation LLC (Dovetail Translation LLC)
• Sarah Merfeld Downey, MS, ATC/R, CSCS
• Matthew R Downs, OD
• Cassandra Doyle
• Jenna Marie Doyle, PA-C
• Dawn Allison Dreyer, RN
• Jodi Lynn Dreyer, RN, CNP
• DRS Kanyusik Wiemers & Runck PA
• Olivia Marquea Drummer, OTR/L
• Crisstill Ann Duaso, RDH

• Athletic Trainer in Mankato, MN
• Providers in Mankato, MN by specialty
• Athletic Trainer in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; 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.