Chelsea Berghorn, MS, LAT, ATC, CSCS

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

4233 Issued in NC

Practice address

1175 Wright Brothers Ave BLDG 4402
Seymour Johnson a F B, NC 27531-2375

Phone

(423) 599-3742

NPI assigned

Sep 12, 2016

Last updated

Nov 15, 2022By 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 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1473638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668470400000",
    "number": "1891243531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 HICKORY RD",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275344421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 WRIGHT BROTHERS AVE BLDG 4402",
            "city": "SEYMOUR JOHNSON A F B",
            "state": "NC",
            "postal_code": "275312375",
            "telephone_number": "423-599-3742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGHORN",
        "first_name": "CHELSEA",
        "credential": "MS, LAT, ATC, CSCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-12",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TN",
            "license": "0000002645",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NC",
            "license": "4233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 4TH Medgrp-Seymour Johnson (DoD SEY-JOHN ePhcy)
• Isaiah Gary Allison
• Ryan Ashworth, MS, ATC, PMP
• Anthony Shawn Bankes, M.D.
• Cameron Thomas Beckham, PA-C
• Tiffany Moore Brassard, RD
• Stacey Marie Brundrett, CNS
• Angela Marie Carter, IDMT
• Rachel Elizabeth Copeland, PHARMD
• Sheila Jo Davis, RN

• Athletic Trainer in Seymour Johnson AFB, NC
• Providers in Seymour Johnson AFB, NC by specialty
• Athletic Trainer in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; 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.