Individual provider Active NPI

Erica W Schultz, ATC,LAT

  • Athletic Trainer
  • Cornelius, NC
National Provider Identifier
1689010068
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
LAT-2440 Issued in NC
Practice address
12420 Bailey Rd
Cornelius, NC 28031-9134
Phone
(704) 792-6188
NPI assigned
May 13, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X AT002069 GA
Athletic Trainer 2255A2300X LAT-2440 NC Primary

Addresses

Primary practice location

12420 Bailey Rd
Cornelius, NC 28031-9134

Mailing address

161 Village View Dr Ste 314
Mooresville, NC 28117-0035
Phone (678) 234-7941

Other practice location 1

805 Whitaker St
Apt. 7
Savannah, GA 31401-6354
Phone (678) 234-7941

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
AT002069GAMDAthletic Trainer
LAT-2440NCMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1368403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1689010068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 VILLAGE VIEW DR STE 314",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281170035",
            "telephone_number": "678-234-7941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12420 BAILEY RD",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280319134",
            "telephone_number": "704-792-6188"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "805 Whitaker St",
            "address_2": "Apt. 7",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314016354",
            "country_code": "US",
            "telephone_number": "678-234-7941",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHULTZ",
        "first_name": "ERICA",
        "middle_name": "W",
        "name_prefix": "Miss",
        "credential": "ATC,LAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-13",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "GA",
            "license": "AT002069",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NC",
            "license": "LAT-2440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cornelius, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.

Verify at the official NPI Registry.