Karen Leslie Eder, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

A0000107 Issued in MD

Practice address

510 Upper Chesapeake Dr Ste 417
Bel Air, MD 21014-4336

Phone

(443) 643-3130

Fax

(443) 643-3133

NPI assigned

Mar 5, 2019

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1551744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551744000000",
    "number": "1376001735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 UPPER CHESAPEAKE DR STE 417",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144336",
            "telephone_number": "443-643-3130",
            "fax_number": "443-643-3133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 UPPER CHESAPEAKE DR STE 417",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144336",
            "telephone_number": "443-643-3130",
            "fax_number": "443-643-3133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDER",
        "first_name": "KAREN",
        "middle_name": "LESLIE",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-05",
        "last_updated": "2019-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MD",
            "license": "A0000107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa A Early, LGPC
• Gene H Eberts
• Penny L Eberts, LCPC
• Jayne Margaret Eckenrode, DDS
• Laurence Marc Edelman, M.D.
• Evelyn Page Edmunds, PH.D.
• Ian Edwards
• Kayla Danielle Edwards
• Philip Effron, M.D.
• Ehome Aftercare

• Athletic Trainer in Bel Air, MD
• Providers in Bel Air, MD by specialty
• Athletic Trainer in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2019; 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.