Active NPI
Emily Kay Rideout, ATC
- Athletic Trainer
- Emerald Isle, NC
National Provider Identifier
1124557798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 2000028725
- Practice address
- 10217 Corree Cove Dr
Emerald Isle, NC 28594-2133 - Phone
- (910) 545-2076
- NPI assigned
- Jun 7, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 2000028725 | NC | Primary |
Addresses
Primary practice location
10217 Corree Cove Dr
Emerald Isle, NC 28594-2133
Mailing address
10217 Corree Cove Dr
Emerald Isle, NC 28594-2133
Phone (910) 545-2076
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 |
|---|---|---|---|
| 2000028725 | NC | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1124557798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10217 CORREE COVE DR",
"city": "EMERALD ISLE",
"state": "NC",
"postal_code": "285942133",
"telephone_number": "910-545-2076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10217 CORREE COVE DR",
"city": "EMERALD ISLE",
"state": "NC",
"postal_code": "285942133",
"telephone_number": "910-545-2076"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIDEOUT",
"first_name": "EMILY",
"middle_name": "KAY",
"name_prefix": "Miss",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-07",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NC",
"license": "2000028725",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Emerald Isle, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.