Carlie Kate Elmer

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

165528 Issued in AK

Practice address

9551 Sijan Ave
Jber, AK 99506-4300

Phone

(609) 540-2040

NPI assigned

Jul 8, 2015

Sex

Female

Sole proprietor

Yes

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, last updated by the provider on Aug 18, 2021.

{
    "created_epoch": "1436313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1407239346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7125 E SUPERSTITION SPRINGS BLVD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852094032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9551 SIJAN AVE",
            "city": "JBER",
            "state": "AK",
            "postal_code": "995064300",
            "telephone_number": "609-540-2040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5217 Sleepy Meadow Pl",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995071488",
            "country_code": "US",
            "telephone_number": "609-540-2040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELMER",
        "first_name": "CARLIE",
        "middle_name": "KATE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-08",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "AZ",
            "license": "1409",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "AK",
            "license": "165528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "carlie.elmer.ctr@us.af.mil",
            "affiliation": "N",
            "endpointDescription": "DoD email",
            "address_1": "9551 Sijan Ave",
            "city": "Jber",
            "state": "AK",
            "country_code": "US",
            "postal_code": "995064300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rhiannon Echeverria, LMT
• William Hugh Edwards, PT, DPT
• Ronald Elazegui, PHARM D.
• Amy Michelle Elfond, DO
• Maeve Rose Elliott, MD
• Steven Embry, DO
• Marcus Orion Erdman, MD
• Kimberly Yoon Kyung Ernst, LCSW
• Theresa Esquivel-Wade
• Claire E Feild, ATC

• All providers in Jber, AK
• Athletic Trainer in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; 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.