Individual provider Active NPI

Hannah Ernst, ATC, OTC

  • Athletic Trainer
  • Beaverton, OR
National Provider Identifier
1144625427
Registry record updated May 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
AT-AT-10191748 Issued in OR
Practice address
14921 SW Millikan Way Apt 937
Beaverton, OR 97003-5088
Phone
(440) 714-5563
NPI assigned
Oct 28, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X AT-AT-10191748 OR Primary

Addresses

Primary practice location

14921 SW Millikan Way Apt 937
Beaverton, OR 97003-5088

Mailing address

14921 SW Millikan Way Apt 937
Beaverton, OR 97003-5088
Phone (440) 714-5563

Other practice location 1

4136 Cambridge Ave
Lorain, OH 44053-2332
Phone (440) 714-5563

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

LicenseStateTypeSpecialty
AT-AT-10191748ORMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1414454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589328000000",
    "number": "1144625427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14921 SW MILLIKAN WAY APT 937",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970035088",
            "telephone_number": "440-714-5563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14921 SW MILLIKAN WAY APT 937",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970035088",
            "telephone_number": "440-714-5563"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4136 Cambridge Ave",
            "address_purpose": "LOCATION",
            "city": "Lorain",
            "state": "OH",
            "postal_code": "440532332",
            "country_code": "US",
            "telephone_number": "440-714-5563",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ERNST",
        "first_name": "HANNAH",
        "credential": "ATC, OTC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-28",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "OR",
            "license": "AT-AT-10191748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.