Carrie Kay Erickson, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

00465 Issued in IA

Practice address

5003 Crogans Way Rd
Council Bluffs, IA 51501-8616

Phone

(402) 320-8796

NPI assigned

Mar 20, 2007

Last updated

Jan 31, 2020By 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 identifiers 2

Other names 1

• Ms. Carrie Kay Leber Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Executive Health Solutions, LLC

  dba EHS Physical Therapy & Chiropractic

  • Physical Therapist
  • Omaha, NE
  • NPI 1063979185
  NPD (past)

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580428800000",
    "number": "1790800373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5003 CROGANS WAY RD",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515018616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5003 CROGANS WAY RD",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515018616",
            "telephone_number": "402-320-8796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERICKSON",
        "first_name": "CARRIE",
        "middle_name": "KAY",
        "name_prefix": "Ms.",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2020-01-31",
        "certification_date": "2020-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IA",
            "license": "00465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IA ATH. TRAINING LICENSE",
            "identifier": "00465",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOC CERTIFICATION",
            "identifier": "080202275",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARRIE",
            "last_name": "LEBER",
            "middle_name": "KAY",
            "prefix": "MS.",
            "credential": "ATC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Empowerme Medical Group, PC
• Katlyn Antonia Engebretsen, MS, CCC-SLP
• Envision Open MRI LLC
• Robyn Epley, O.D.
• Bridget Epperson, DPT, OCS
• Katherine M. Erlandson, NP
• Essence Med LLC
• Sarah C Esser, LISW
• Charles Edward Evans, CADC CPADAC
• Reva Dawn Evans, CADC

• Athletic Trainer in Council Bluffs, IA
• Providers in Council Bluffs, IA by specialty
• Athletic Trainer in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.