Active NPI
Erica Pomana, ATC, LAT
- Athletic Trainer
- Lawton, OK
National Provider Identifier
1700336609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- A160904524
- Practice address
- 5970 S Boundary Rd
Lawton, OK 73503-4480 - Phone
- (580) 442-7017
- NPI assigned
- Oct 4, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | A160904524 | WA | Primary |
Addresses
Primary practice location
5970 S Boundary Rd
Lawton, OK 73503-4480
Mailing address
5970 S Boundary Rd
Fort Sill, OK 73503-4480
Phone (580) 442-7017
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
| License | State | Type | Specialty |
|---|---|---|---|
| A160904524 | WA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704758400000",
"number": "1700336609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5970 S BOUNDARY RD",
"city": "FORT SILL",
"state": "OK",
"postal_code": "735034480",
"telephone_number": "580-442-7017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5970 S BOUNDARY RD",
"city": "LAWTON",
"state": "OK",
"postal_code": "735034480",
"telephone_number": "580-442-7017"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POMANA",
"first_name": "ERICA",
"credential": "ATC, LAT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-04",
"last_updated": "2024-01-09",
"certification_date": "2024-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "WA",
"license": "A160904524",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lawton, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.