Individual provider Active NPI

Catherine V Laur, ATC,EMT-B,PES

  • Athletic Trainer
  • East Stroudsburg, PA
National Provider Identifier
1619259371
Registry record updated Sep 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
RT005063 Issued in PA
Practice address
200 Prospect St
East Stroudsburg University- Koehler Fieldhouse
East Stroudsburg, PA 18301-2956
Phone
(570) 422-3231
NPI assigned
Sep 19, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2011

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 RT005063 PA Primary

Addresses

Primary practice location

200 Prospect St
East Stroudsburg University- Koehler Fieldhouse
East Stroudsburg, PA 18301-2956

Mailing address

800 Furman Dr
Monroeville, PA 15146-1912

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
RT005063PAMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1316390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316390400000",
    "number": "1619259371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 FURMAN DR",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151461912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 PROSPECT ST",
            "address_2": "EAST STROUDSBURG UNIVERSITY- KOEHLER FIELDHOUSE",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183012956",
            "telephone_number": "570-422-3231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUR",
        "first_name": "CATHERINE",
        "middle_name": "V",
        "credential": "ATC,EMT-B,PES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-19",
        "last_updated": "2011-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "PA",
            "license": "RT005063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Stroudsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2011; 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.