Individual provider Active NPI

Elizabeth Gelhaus, MS, ATC, LAT

  • Athletic Trainer
  • Rosalia, WA
National Provider Identifier
1609311844
Registry record updated Dec 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
A160691214 Issued in WA
Practice address
602 E Cheney Plaza Rd
Rosalia, WA 99170-9756
Phone
(509) 879-1583
NPI assigned
Dec 26, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X A160691214 WA Primary

Addresses

Primary practice location

602 E Cheney Plaza Rd
Rosalia, WA 99170-9756

Mailing address

602 E Cheney Plaza Rd
Rosalia, WA 99170-9756
Phone (509) 879-1583

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
A160691214WAMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1482710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482710400000",
    "number": "1609311844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 E CHENEY PLAZA RD",
            "city": "ROSALIA",
            "state": "WA",
            "postal_code": "991709756",
            "telephone_number": "509-879-1583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 E CHENEY PLAZA RD",
            "city": "ROSALIA",
            "state": "WA",
            "postal_code": "991709756",
            "telephone_number": "509-879-1583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GELHAUS",
        "first_name": "ELIZABETH",
        "credential": "MS, ATC, LAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-26",
        "last_updated": "2016-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "WA",
            "license": "A160691214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosalia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2016; 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.