Active NPI
Elizabeth Ann Davison, LAT, ATC
- Athletic Trainer
- Eaton, OH
National Provider Identifier
1316307465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT . 004934
- Practice address
- 112 Fiord Drive
Eaton, OH 45320 - Phone
- (937) 839-2974
- NPI assigned
- Mar 2, 2016
- Last updated
- Mar 2, 2016
- 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 | AT . 004934 | OH | Primary |
Addresses
Primary practice location
112 Fiord Drive
Eaton, OH 45320
Mailing address
112 Fiord Drive
Eaton, OH 45320
Phone (937) 839-2974
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 |
|---|---|---|---|
| AT . 004934 | OH | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456876800000",
"number": "1316307465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 FIORD DRIVE",
"city": "EATON",
"state": "OH",
"postal_code": "45320",
"telephone_number": "937-839-2974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 FIORD DRIVE",
"city": "EATON",
"state": "OH",
"postal_code": "45320",
"telephone_number": "937-839-2974"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVISON",
"first_name": "ELIZABETH",
"middle_name": "ANN",
"credential": "LAT, ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-03-02",
"last_updated": "2016-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "OH",
"license": "AT . 004934",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eaton, OH
- Jaime Lynn Cummins, PHARM D
- Jeanne Current, SLP
- Darke County Recovery Services (Recovery & Wellness Centers of Midwest Ohio)
- Joni A Davis, RN
- Michelle Davis, CDCA
- Dayton Osteopathic Hospital (Kettering Health Pharmacy Preble)
- Kristi Dees Collins
- Stephen Spencer Deffner, MS, AT
- Deanyl Lycole Denlinger, FNP-BC
- Lola Dennis, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 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.