Erik John Smith

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

225A2300X Issued in IL

Practice address

321 W Jefferson St
Apt #2
Rockford, IL 61101-1024

Phone

(815) 262-5614

NPI assigned

Nov 21, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1416528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416528000000",
    "number": "1861899692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 W JEFFERSON ST APT 2",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611011024",
            "telephone_number": "815-262-5614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 W JEFFERSON ST",
            "address_2": "APT #2",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611011024",
            "telephone_number": "815-262-5614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ERIK",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-11-21",
        "last_updated": "2014-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IL",
            "license": "225A2300X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cameron Joseph Smith, PHARMD
• Chandra Nicole Smith, FNP-C
• Chelsea Smith, FNP-BC
• Colleena Sue Smith
• Dwight Smith Jr.
• Jeffrey R Smith, MD
• Jill Frances Smith
• Katera Smith
• Katherine Smith, M.A. CCC-SLP
• Kimberly Ann Smith, M.S. ED, ATC

• Athletic Trainer in Rockford, IL
• Providers in Rockford, IL by specialty
• Athletic Trainer in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2014; 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.