Individual provider Active NPI

Elisabeth J Garms, LAT, ATC

  • Athletic Trainer
  • Saint Paul, MN
National Provider Identifier
1487933123
Registry record updated Apr 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
2711 Issued in MN
Practice address
1600 Grand Ave
Saint Paul, MN 55105-1899
Phone
(651) 696-6414
NPI assigned
Aug 12, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 1268-39 WI
Athletic Trainer 2255A2300X 2711 MN Primary

Addresses

Primary practice location

1600 Grand Ave
Saint Paul, MN 55105-1899

Mailing address

1600 Grand Ave
Saint Paul, MN 55105-1899
Phone (651) 696-6414

Other practice location 1

8100 W 78th St Ste 230
Edina, MN 55439-2570
Phone (952) 946-9777

Other practice location 2

1725 State St
144 Mitchell Hall
LA Crosse, WI 54601-3742
Phone (608) 785-8616

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

LicenseStateTypeSpecialty
2711MNMDAthletic Trainer
1268-39WIMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1313107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555286400000",
    "number": "1487933123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 GRAND AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551051899",
            "telephone_number": "651-696-6414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 GRAND AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551051899",
            "telephone_number": "651-696-6414"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8100 W 78th St Ste 230",
            "address_purpose": "LOCATION",
            "city": "Edina",
            "state": "MN",
            "postal_code": "554392570",
            "country_code": "US",
            "telephone_number": "952-946-9777",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1725 State St",
            "address_2": "144 Mitchell Hall",
            "address_purpose": "LOCATION",
            "city": "LA Crosse",
            "state": "WI",
            "postal_code": "546013742",
            "country_code": "US",
            "telephone_number": "608-785-8616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARMS",
        "first_name": "ELISABETH",
        "middle_name": "J",
        "credential": "LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-12",
        "last_updated": "2019-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "WI",
            "license": "1268-39",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MN",
            "license": "2711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.