Individual provider Active NPI

Christine May Gilsdorf, MA, LAT, ATC

  • Athletic Trainer
  • Raleigh, NC
National Provider Identifier
1992197990
Registry record updated Feb 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
LAT-1800 Issued in NC
Practice address
2400 Sumner Blvd
Raleigh, NC 27616-3275
Phone
(919) 876-1100
NPI assigned
Feb 27, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X LAT-1800 NC Primary

Addresses

Primary practice location

2400 Sumner Blvd
Raleigh, NC 27616-3275

Mailing address

2400 Sumner Blvd
Raleigh, NC 27616-3275
Phone (919) 876-1100

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 Arts

State licenses

LicenseStateTypeSpecialty
LAT-1800NCMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Raleigh Orthopaedic Clinic PA 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1424995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424995200000",
    "number": "1992197990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 SUMNER BLVD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276163275",
            "telephone_number": "919-876-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 SUMNER BLVD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276163275",
            "telephone_number": "919-876-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILSDORF",
        "first_name": "CHRISTINE",
        "middle_name": "MAY",
        "credential": "MA, LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-27",
        "last_updated": "2015-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NC",
            "license": "LAT-1800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2015; 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.