Active NPI
Erica Russell, A.T.
- Athletic Trainer
- Norwalk, CT
National Provider Identifier
1174948152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 002246-1
- Practice address
- 284 East Ave Apt C
Norwalk, CT 06855-1920 - Phone
- (845) 531-8229
- NPI assigned
- Feb 27, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 | 002246-1 | NY | Primary |
Addresses
Primary practice location
284 East Ave Apt C
Norwalk, CT 06855-1920
Mailing address
284 East Ave Apt C
Norwalk, CT 06855-1920
Phone (845) 531-8229
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 |
|---|---|---|---|
| 002246-1 | NY | MD | Art Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393459200000",
"number": "1174948152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "284 EAST AVE APT C",
"city": "NORWALK",
"state": "CT",
"postal_code": "068551920",
"telephone_number": "845-531-8229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "284 EAST AVE APT C",
"city": "NORWALK",
"state": "CT",
"postal_code": "068551920",
"telephone_number": "845-531-8229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSSELL",
"first_name": "ERICA",
"credential": "A.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-02-27",
"last_updated": "2014-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NY",
"license": "002246-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norwalk, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.