Erin Marie Bahde, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

096.002980 Issued in IL

Practice address

579 N Oakhurst Dr
Aurora, IL 60502-9080

Phone

(630) 928-3400

Fax

(630) 898-1874

NPI assigned

Nov 1, 2011

Last updated

Nov 1, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Erin Marie Mitchell Former name

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": "1320105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320105600000",
    "number": "1679859888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1137 N EOLA RD",
            "address_2": "SUITE 106",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605027096",
            "telephone_number": "630-928-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "579 N OAKHURST DR",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605029080",
            "telephone_number": "630-928-3400",
            "fax_number": "630-898-1874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAHDE",
        "first_name": "ERIN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-01",
        "last_updated": "2011-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IL",
            "license": "096.002980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "MITCHELL",
            "middle_name": "MARIE",
            "prefix": "MISS",
            "credential": "ATC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mohammad Moein Zavarehee Azimi, DMD
• Suzanne Baber, LCSW
• April Babyar, B.S.
• Adelio Badayos, PT
• Kellye Nicole Bageon, MA
• Diana Lorraine Bahena, FNP-BC
• Abrar Mirza Baig, PHARMD
• Sarvottam Bajaj, MD
• Sonia Bajaj, LCPC
• Brittney Bajek, BCBA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.