Nicholas Kevin Erdman, PHD, LAT, ATC, CISSN

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

0126002346 Issued in VA

Practice address

1460 University Dr
Winchester, VA 22601-5195

Phone

(540) 642-6505

NPI assigned

Oct 22, 2019

Sex

Male

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

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1571702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641340800000",
    "number": "1265075394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3009 BROWNTOWN RD",
            "city": "FRONT ROYAL",
            "state": "VA",
            "postal_code": "226307643",
            "telephone_number": "540-323-0080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 UNIVERSITY DR",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226015195",
            "telephone_number": "540-642-6505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 Emmet St S",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229032455",
            "country_code": "US",
            "telephone_number": "434-924-6184",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ERDMAN",
        "first_name": "NICHOLAS",
        "middle_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "PHD, LAT, ATC, CISSN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-22",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "VA",
            "license": "0126002346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaleigh Eperthener, PHARM.D.
• Ashlyn Eppard
• David Michael Eppard, DPT
• Noah Lee Epperson
• Pamela V Erb
• Eric Y. Lee, DDS, P.C.
• Abigail Elizabeth Erickson, PHYSICIAN ASSISTANT-
• Samantha Elizabeth Erickson, PHARMD
• Andrea Ernst, LCSW
• Madison Ernstes

• All providers in Winchester, VA
• Athletic Trainer in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.

Verify at the official NPI Registry.