Active NPI
Emma Elizabeth Rolin, ATC, LAT
- Athletic Trainer
- Ada, OK
National Provider Identifier
1972096360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 1037
- Practice address
- 1100 E 14TH St
Ada, OK 74820-6915 - Phone
- (580) 559-5432
- NPI assigned
- Jun 11, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 1037 | OK | Primary |
Addresses
Primary practice location
1100 E 14TH St
Ada, OK 74820-6915
Mailing address
512 E 7TH St
Ada, OK 74820-5204
Phone (405) 664-9121
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 |
|---|---|---|---|
| 1037 | OK | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528675200000",
"number": "1972096360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "512 E 7TH ST",
"city": "ADA",
"state": "OK",
"postal_code": "748205204",
"telephone_number": "405-664-9121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 E 14TH ST",
"city": "ADA",
"state": "OK",
"postal_code": "748206915",
"telephone_number": "580-559-5432"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROLIN",
"first_name": "EMMA",
"middle_name": "ELIZABETH",
"credential": "ATC, LAT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-11",
"last_updated": "2018-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "OK",
"license": "1037",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ada, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.