Active NPI
Erin M Swaim, LAT, ATC, CES
- Athletic Trainer
- San Marcos, TX
National Provider Identifier
1104328145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT8481
- Practice address
- 191 Cotter Ave Apt 6304
San Marcos, TX 78666-3944 - Phone
- (336) 708-0409
- NPI assigned
- Mar 6, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 36574861 | NC | |
| Student in an Organized Health Care Education/Training Program | 390200000X | 36574861 | NC | |
| Athletic Trainer | 2255A2300X | AT8481 | TX | Primary |
Addresses
Primary practice location
191 Cotter Ave Apt 6304
San Marcos, TX 78666-3944
Mailing address
191 Cotter Ave Apt 6304
San Marcos, TX 78666-3944
Other practice location 1
403 Racine Dr. Apt B
Wilmington, NC 28403-2840
Phone (336) 708-0409
Other practice location 2
601 S College Rd
Wilmington, NC 28403-3201
Phone (000) 000-0000
Other names 1
- Erin M Shepherd
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT8481 | TX | MD | Athletic Trainer |
| 36574861 | NC | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634774400000",
"number": "1104328145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "191 COTTER AVE APT 6304",
"city": "SAN MARCOS",
"state": "TX",
"postal_code": "786663944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "191 COTTER AVE APT 6304",
"city": "SAN MARCOS",
"state": "TX",
"postal_code": "786663944",
"telephone_number": "336-708-0409"
}
],
"practiceLocations": [
{
"address_1": "403 Racine Dr. Apt B",
"address_purpose": "LOCATION",
"city": "Wilmington",
"state": "NC",
"postal_code": "284032840",
"country_code": "US",
"telephone_number": "336-708-0409",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "601 S College Rd",
"address_purpose": "LOCATION",
"city": "Wilmington",
"state": "NC",
"postal_code": "284033201",
"country_code": "US",
"telephone_number": "000-000-0000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SWAIM",
"first_name": "ERIN",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "LAT, ATC, CES",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-06",
"last_updated": "2021-10-21",
"certification_date": "2021-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NC",
"license": "36574861",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NC",
"license": "36574861",
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "TX",
"license": "AT8481",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ERIN",
"last_name": "SHEPHERD",
"middle_name": "M",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in San Marcos, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.