Susan Christian Edkins, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

0104 Issued in NC

Practice address

1 University Rd
HHP Dept. Unc Pembroke
Pembroke, NC 28372-8699

Phone

(910) 521-6480

Fax

(910) 775-4125

NPI assigned

May 2, 2016

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

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": "1462147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462147200000",
    "number": "1144675752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE UNIVERSITY DRIVE",
            "address_2": "HHP DEPT. UNC PEMBROKE",
            "city": "PEMBROKE",
            "state": "NC",
            "postal_code": "283721510",
            "telephone_number": "910-521-6480",
            "fax_number": "910-775-4125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 UNIVERSITY RD",
            "address_2": "HHP DEPT. UNC PEMBROKE",
            "city": "PEMBROKE",
            "state": "NC",
            "postal_code": "283728699",
            "telephone_number": "910-521-6480",
            "fax_number": "910-775-4125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDKINS",
        "first_name": "SUSAN",
        "middle_name": "CHRISTIAN",
        "name_prefix": "Mrs.",
        "credential": "LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-02",
        "last_updated": "2016-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NC",
            "license": "0104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Athletic Trainer in Pembroke, NC
• Providers in Pembroke, NC by specialty
• Athletic Trainer in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2016; 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.