Erika Jo Trout, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

RT007086 Issued in PA

Practice address

1671 Route 209
Brodheadsville, PA 18322-7773

Phone

(570) 402-1000

NPI assigned

Jun 11, 2019

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

• Erika Jo Johnson Former name

Electronic endpoints 1

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": "1560211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683072000000",
    "number": "1255990487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 E TERRACE DR",
            "city": "SAYLORSBURG",
            "state": "PA",
            "postal_code": "183538213",
            "telephone_number": "570-977-4408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1671 ROUTE 209",
            "city": "BRODHEADSVILLE",
            "state": "PA",
            "postal_code": "183227773",
            "telephone_number": "570-402-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROUT",
        "first_name": "ERIKA",
        "middle_name": "JO",
        "credential": "LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-11",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "PA",
            "license": "RT007086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "erika.johnson@sluhn.org",
            "affiliation": "Y",
            "endpointDescription": "Only accessible though a 3rd party company desktop",
            "affiliationName": "St. Luke's University Health Network",
            "address_1": "801 Ostrum St",
            "city": "Bethlehem",
            "state": "PA",
            "country_code": "US",
            "postal_code": "180151000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ERIKA",
            "last_name": "JOHNSON",
            "middle_name": "JO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• St. Luke'S Physician Group, Inc.
• Allison Marie Stafford, D.C.
• Holly Stone, M.D.
• Virginia S Sutter, LSW
• Anthony Tavella, PA-C
• Michael Patrick Turkos, D.C.
• Jillian Nicole Uzdzinski, DO
• Valley Health Partners Community Health Center
• Robert J. Vanmetter, DC
• Cynthia Marie Ventre, CRNP

• Athletic Trainer in Brodheadsville, PA
• Providers in Brodheadsville, PA by specialty
• Athletic Trainer in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; 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.