Active NPI
Carli Cheyenne Cressman, MAT, LAT, ATC
- Athletic Trainer
- Elkins, WV
National Provider Identifier
1912441999
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT001603
- Practice address
- 100 Campus Dr
Elkins, WV 26241-3971 - Phone
- (304) 637-1397
- NPI assigned
- Dec 11, 2016
- Last updated
- Sep 24, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Athletic Trainer | 2255A2300X | NU | ||
| Athletic Trainer | 2255A2300X | AT001603 | WV | Primary |
Addresses
Primary practice location
100 Campus Dr
Elkins, WV 26241-3971
Mailing address
100 Campus Dr
Elkins, WV 26241-3971
Phone (304) 637-1397
Other practice location 1
21 Short St
Brookville, PA 15825-1719
Phone (814) 715-4076
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT001603 | WV | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Davis & Elkins College | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Student Health Clinic/Center
- Elkins, WV
- NPI 1154675460
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1481414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600905600000",
"number": "1912441999",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 CAMPUS DR",
"city": "ELKINS",
"state": "WV",
"postal_code": "262413971",
"telephone_number": "304-637-1397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 CAMPUS DR",
"city": "ELKINS",
"state": "WV",
"postal_code": "262413971",
"telephone_number": "304-637-1397"
}
],
"practiceLocations": [
{
"address_1": "21 Short St",
"address_purpose": "LOCATION",
"city": "Brookville",
"state": "PA",
"postal_code": "158251719",
"country_code": "US",
"telephone_number": "814-715-4076",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CRESSMAN",
"first_name": "CARLI",
"middle_name": "CHEYENNE",
"credential": "MAT, LAT, ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-12-11",
"last_updated": "2020-09-24",
"certification_date": "2020-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"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": "WV",
"license": "AT001603",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elkins, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.