Individual provider Active NPI

Erin Ann Ainslie Carlson, M.S., ATC, LAT

  • Athletic Trainer
  • Charlotte, NC
National Provider Identifier
1861763765
Registry record updated Feb 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
1898 Issued in NC
Practice address
4400 Golf Acres Dr
CMC Sports Medicine
Charlotte, NC 28208-5990
Phone
(704) 774-7412
Fax
(980) 343-1767
NPI assigned
Jan 24, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 1898 NC Primary

Addresses

Primary practice location

4400 Golf Acres Dr
CMC Sports Medicine
Charlotte, NC 28208-5990

Mailing address

4400 Golf Acres Dr
CMC Sports Medicine
Charlotte, NC 28208-5990
Phone (704) 774-7412

Other identifiers 1

IdentifierTypeStateIssuer
22OtherNCRESPIRATORY, REHABILITATIVE & RESTORATIVE SERVICE PROVIDERS

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
Master of Science

State licenses

LicenseStateTypeSpecialty
1898NCMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1327363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328140800000",
    "number": "1861763765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 GOLF ACRES DR",
            "address_2": "CMC SPORTS MEDICINE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282085990",
            "telephone_number": "704-774-7412",
            "fax_number": "980-343-1767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 GOLF ACRES DR",
            "address_2": "CMC SPORTS MEDICINE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282085990",
            "telephone_number": "704-774-7412",
            "fax_number": "980-343-1767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "ERIN ANN",
        "middle_name": "AINSLIE",
        "credential": "M.S., ATC, LAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-24",
        "last_updated": "2012-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NC",
            "license": "1898",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RESPIRATORY, REHABILITATIVE & RESTORATIVE SERVICE PROVIDERS",
            "identifier": "22",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2012; 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.