Active NPI
Chelsea Epperson, ATC, OTC
- Athletic Trainer
- Columbia, MO
National Provider Identifier
1265243497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 2011026851
- Practice address
- 1100 Virginia Ave
Columbia, MO 65212-0001 - Phone
- (573) 882-2663
- NPI assigned
- Jan 16, 2025
- Sex
- Female
- Sole proprietor
- No
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 | 2011026851 | MO | Primary |
Addresses
Primary practice location
1100 Virginia Ave
Columbia, MO 65212-0001
Mailing address
2406 Spanish Bay Dr
Columbia, MO 65202-3581
Phone (573) 619-4672
Other names 1
- Chelsea Loethen
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 |
|---|---|---|---|
| 2011026851 | MO | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736985600000",
"number": "1265243497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2406 SPANISH BAY DR",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652023581",
"telephone_number": "573-619-4672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 VIRGINIA AVE",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652120001",
"telephone_number": "573-882-2663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EPPERSON",
"first_name": "CHELSEA",
"credential": "ATC, OTC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-01-16",
"last_updated": "2025-01-16",
"certification_date": "2025-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MO",
"license": "2011026851",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHELSEA",
"last_name": "LOETHEN",
"credential": "ATC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Columbia, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.