Erica Leigh Vanover, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

096.004955 Issued in IL

Practice address

727 W Raab Rd Apt 11
Normal, IL 61761-4145

Phone

(614) 288-3612

NPI assigned

Jan 10, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

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": "1484006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608940800000",
    "number": "1598201840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8441 TIBBERMORE CT",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430179721",
            "telephone_number": "614-288-3612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 W RAAB RD APT 11",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617614145",
            "telephone_number": "614-288-3612"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5378 Roscommon Rd",
            "address_purpose": "LOCATION",
            "city": "Dublin",
            "state": "OH",
            "postal_code": "430171048",
            "country_code": "US",
            "telephone_number": "614-288-3612",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANOVER",
        "first_name": "ERICA",
        "middle_name": "LEIGH",
        "name_prefix": "Miss",
        "credential": "LAT, ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-10",
        "last_updated": "2020-12-26",
        "certification_date": "2020-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IL",
            "license": "096.004955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Urohealth Institute, L.L.C.
• Bhanu K Vakkalanka, M.D.
• James Steven Vales, M.D.
• Ashton Van Heemst
• Katherine Van Horn, LCSW
• Lori Verkler
• Jacqueline Clare Vermaat, MS, LPC, LCPC
• Jodi Lynn Vermillion, M.A, BCBA
• Heidi Renee Verticchio, MS, CCC-SLP
• Zeus Tadije Villanueva, PT

• Athletic Trainer in Normal, IL
• Providers in Normal, IL by specialty
• Athletic Trainer in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2020; 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.