Bonnie Sue Erickson, ATC, CSCS

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

255 NE 6TH Ave
Estacada, OR 97023-9719

Phone

(503) 630-8515

NPI assigned

Mar 24, 2007

Last updated

Jul 11, 2020By 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

Other names 1

• Bonnie Sue Day Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1174694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594425600000",
    "number": "1124145081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39344 TRILLIUM ST",
            "city": "SANDY",
            "state": "OR",
            "postal_code": "970555399",
            "telephone_number": "503-267-3003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 NE 6TH AVE",
            "city": "ESTACADA",
            "state": "OR",
            "postal_code": "970239719",
            "telephone_number": "503-630-8515"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 NE 201st Ave",
            "address_purpose": "LOCATION",
            "city": "Fairview",
            "state": "OR",
            "postal_code": "970249642",
            "country_code": "US",
            "telephone_number": "503-267-3003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ERICKSON",
        "first_name": "BONNIE",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "credential": "ATC, CSCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-24",
        "last_updated": "2020-07-11",
        "certification_date": "2020-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BONNIE",
            "last_name": "DAY",
            "middle_name": "SUE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rudena Marie Delazerda
• Megan Michelle Diebel, CHW
• Olga Smith Dongvillo, LICENSED ACUPUNCTURI
• Konnie Joanne Ebert, BSN
• Laura Evelyn Edwards, MS, LPC
• Maria J Escobar, MSW, LCSW
• Estacada Chiropractic Clinic Inc.
• Estacada Direct Primary Care, LLC (Estacada Direct Primary Care)
• Estacada Eyecare PC
• Estacada Family Dental, LLC

• Athletic Trainer in Estacada, OR
• Providers in Estacada, OR by specialty
• Athletic Trainer in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2020; 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.