Deirdre Chatlos, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

25MT00255900 Issued in NJ

Practice address

Princeton University Caldwell Field House
Princeton, NJ 08544-0001

Phone

(609) 258-3527

NPI assigned

May 6, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

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": "1588723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588723200000",
    "number": "1700407228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PRINCETON UNIVERSITY CALDWELL FIELD HOUSE",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085440001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PRINCETON UNIVERSITY CALDWELL FIELD HOUSE",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085440001",
            "telephone_number": "609-258-3527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHATLOS",
        "first_name": "DEIRDRE",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-06",
        "last_updated": "2020-05-06",
        "certification_date": "2020-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "PA",
            "license": "RT006793",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NJ",
            "license": "25MT00255900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dchatlos@princeton.edu",
            "affiliation": "N",
            "address_1": "Princeton University Caldwell Field House",
            "city": "Princeton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "085440001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ramya Chandrasekaran
• Frances Y Chang, MD
• Jasper Oliver Chang, AT, ATC, CES
• Jenny Charalambous, LAC
• Charles T Bachus, PA
• Savneet Kaur Chattha, MD
• Manisha Chauhan
• Chu Kuang Chen, MD
• Michael S. Chen, M.D.
• Michelle Chen, L.AC

• Athletic Trainer in Princeton, NJ
• Providers in Princeton, NJ by specialty
• Athletic Trainer in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2020; 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.