Active NPI
Natalie Cerda, MED, ATC
- Athletic Trainer
- Chicago, IL
National Provider Identifier
1891203477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 096003629
- Practice address
- 6526 North Winthrop
Chicago, IL 60626 - Phone
- (773) 508-2709
- NPI assigned
- Jan 17, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 | 096003629 | IL | Primary |
Addresses
Primary practice location
6526 North Winthrop
Chicago, IL 60626
Mailing address
6355 N Lakewood Ave Apt 2E
Chicago, IL 60660-1466
Phone (630) 965-7208
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 Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 096003629 | IL | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516147200000",
"number": "1891203477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6355 N LAKEWOOD AVE APT 2E",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606601466",
"telephone_number": "630-965-7208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6526 NORTH WINTHROP",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60626",
"telephone_number": "773-508-2709"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CERDA",
"first_name": "NATALIE",
"name_prefix": "Miss",
"credential": "MED, ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-01-17",
"last_updated": "2018-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "IL",
"license": "096003629",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.