Individual provider Active NPI

Christina L Ludlam, RN, ATC

  • Athletic Trainer
  • Woolwich TWP, NJ
National Provider Identifier
1811425234
Registry record updated May 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
25MT00110300 Issued in NJ
Practice address
201 Kings Hwy
Woolwich TWP, NJ 08085-5041
Phone
(856) 467-3300
NPI assigned
May 30, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 26NR15244200 NJ
Athletic Trainer 2255A2300X 25MT00110300 NJ Primary

Addresses

Primary practice location

201 Kings Hwy
Woolwich TWP, NJ 08085-5041

Mailing address

305 Crescent Blvd
Millville, NJ 08332-6425

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
26NR15244200NJMDSchool Registered Nurse
25MT00110300NJMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Kingsway Regional School District Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1496102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496102400000",
    "number": "1811425234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 CRESCENT BLVD",
            "city": "MILLVILLE",
            "state": "NJ",
            "postal_code": "083326425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 KINGS HWY",
            "city": "WOOLWICH TWP",
            "state": "NJ",
            "postal_code": "080855041",
            "telephone_number": "856-467-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUDLAM",
        "first_name": "CHRISTINA",
        "middle_name": "L",
        "credential": "RN, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-30",
        "last_updated": "2017-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NJ",
            "license": "26NR15244200",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NJ",
            "license": "25MT00110300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woolwich TWP, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2017; 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.