Active NPI
Erin June Guida, MS, ATC, NREMT
- Athletic Trainer
- Fort Bragg, NC
National Provider Identifier
1114487592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 003608-1
- Practice address
- A-2530 Taylor Street
Fort Bragg, NC 28310-1510 - Phone
- (908) 399-3613
- NPI assigned
- Mar 22, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | CO | ||
| Athletic Trainer | 2255A2300X | 003608-1 | NY | Primary |
Addresses
Primary practice location
A-2530 Taylor Street
Fort Bragg, NC 28310-1510
Mailing address
149 Main St
Highland Falls, NY 10928-1515
Phone (908) 399-3613
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003608-1 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661990400000",
"number": "1114487592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "149 MAIN ST",
"city": "HIGHLAND FALLS",
"state": "NY",
"postal_code": "109281515",
"telephone_number": "908-399-3613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "A-2530 TAYLOR STREET",
"city": "FORT BRAGG",
"state": "NC",
"postal_code": "283101510",
"telephone_number": "908-399-3613"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUIDA",
"first_name": "ERIN",
"middle_name": "JUNE",
"credential": "MS, ATC, NREMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-22",
"last_updated": "2022-09-01",
"certification_date": "2022-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "CO",
"license": null,
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NY",
"license": "003608-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Bragg, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.