Active NPI
Erika Dale Rene' Danver
- Athletic Trainer
- Chillicothe, OH
National Provider Identifier
1508260548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT.004250
- Practice address
- 445 Shawnee LN
Chillicothe, OH 45601-4145 - Phone
- (740) 703-7164
- NPI assigned
- Oct 20, 2014
- Last updated
- Oct 20, 2014
- 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 | AT.004250 | OH | Primary |
Addresses
Primary practice location
445 Shawnee LN
Chillicothe, OH 45601-4145
Mailing address
310 Summit Street
Jackson, OH 45640-1374
Phone (740) 710-6065
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.004250 | OH | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adena Health System | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Adena Health Center Hillsboro
- Family Medicine Physician
- Hillsboro, OH
- NPI 1487450813
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413763200000",
"number": "1508260548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 SUMMIT STREET",
"city": "JACKSON",
"state": "OH",
"postal_code": "456401374",
"telephone_number": "740-710-6065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "445 SHAWNEE LN",
"city": "CHILLICOTHE",
"state": "OH",
"postal_code": "456014145",
"telephone_number": "740-703-7164"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANVER",
"first_name": "ERIKA",
"middle_name": "DALE RENE'",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-20",
"last_updated": "2014-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "OH",
"license": "AT.004250",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chillicothe, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.