Active NPI
Elizabeth Keesler
- Athletic Trainer
- Leesburg, VA
National Provider Identifier
1669973913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 2000030567
- Practice address
- 775 Gateway Dr SE
Apt. 516
Leesburg, VA 20175-4045 - Phone
- (908) 448-8734
- NPI assigned
- Feb 22, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Basic Emergency Medical Technician | 146N00000X | E3215455 | ||
| Athletic Trainer | 2255A2300X | 2000030567 | Primary |
Addresses
Primary practice location
775 Gateway Dr SE
Apt. 516
Leesburg, VA 20175-4045
Mailing address
775 Gateway Dr SE
Apt. 516
Leesburg, VA 20175-4045
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519257600000",
"number": "1669973913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "775 GATEWAY DR SE",
"address_2": "APT. 516",
"city": "LEESBURG",
"state": "VA",
"postal_code": "201754045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "775 GATEWAY DR SE",
"address_2": "APT. 516",
"city": "LEESBURG",
"state": "VA",
"postal_code": "201754045",
"telephone_number": "908-448-8734"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEESLER",
"first_name": "ELIZABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-22",
"last_updated": "2018-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "146N00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Basic",
"state": null,
"license": "E3215455",
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": "2000030567",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Leesburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.