Emily E Youshak, LAT, ATC, CSCS

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AL5605 Issued in FL

Practice address

1150 Campo Sano Ave
Coral Gables, FL 33146-1174

Phone

(786) 268-6200

Fax

(786) 533-9978

NPI assigned

Oct 20, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Emily E Kruithof Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1445299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645660800000",
    "number": "1124490958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 SW WILLISTON RD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326083968",
            "telephone_number": "386-627-3027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 CAMPO SANO AVE",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331461174",
            "telephone_number": "786-268-6200",
            "fax_number": "786-533-9978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUSHAK",
        "first_name": "EMILY",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "LAT, ATC, CSCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-20",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "AL5605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "KRUITHOF",
            "middle_name": "E",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• You Are Accountable Medical PA
• Guy Mathew Young, O.D.
• Harquilla Alexandria Young, BEHAVIOR TECHNICIAN
• Jennifer Nancy Young, M.D.
• Your Life Consulting, LLC
• Zaid Rana D.O MPH, PLLC
• Belkis Cristina Zaldivar, RN
• Louis Oswaldo Zaldivar
• Jaime A Zambrano, D.D.S
• Juliana Zamorano

• Athletic Trainer in Coral Gables, FL
• Providers in Coral Gables, FL by specialty
• Athletic Trainer in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.

Verify at the official NPI Registry.