Active NPI
Craig Elder, ATC
- Athletic Trainer
- Colorado Springs, CO
National Provider Identifier
1770068074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 732
- Practice address
- 6001 E Woodmen Rd
Colorado Springs, CO 80923-2601 - Phone
- (719) 482-4239
- NPI assigned
- Oct 2, 2018
- Sex
- Male
- 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 | 732 | CO | Primary |
Addresses
Primary practice location
6001 E Woodmen Rd
Colorado Springs, CO 80923-2601
Mailing address
4105 Briargate Pkwy Ste 300
Colorado Springs, CO 80920-3487
Phone (719) 482-9350
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 |
|---|---|---|---|
| 732 | CO | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538438400000",
"number": "1770068074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4105 BRIARGATE PKWY STE 300",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809203487",
"telephone_number": "719-482-9350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6001 E WOODMEN RD",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809232601",
"telephone_number": "719-482-4239"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELDER",
"first_name": "CRAIG",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-10-02",
"last_updated": "2018-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "CO",
"license": "732",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.