Hannah Gaveske, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

000994 Issued in IA

Practice address

901 Montgomery St
Rehabilitation Services
Decorah, IA 52101-2325

Phone

(563) 382-2911

NPI assigned

Nov 11, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1320969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320969600000",
    "number": "1013294545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 9TH ST N",
            "address_2": "APT 202",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546013447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 MONTGOMERY ST",
            "address_2": "REHABILITATION SERVICES",
            "city": "DECORAH",
            "state": "IA",
            "postal_code": "521012325",
            "telephone_number": "563-382-2911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAVESKE",
        "first_name": "HANNAH",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-11",
        "last_updated": "2011-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IA",
            "license": "000994",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "WI",
            "license": "1150-039",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl Leann Flatin, D.C.
• Andrew W Fritz, ATC, LAT
• Hannah Frye, CFY-SLP
• Theresa K Fullhart, MSW
• Stephanie Grusy Garcia-Prats, LMSW
• David Geenen, TCADC
• David Joseph Gehling, D.C.
• Tedd W Gentry, M.D.
• Rebecca L Gesing, APNP
• Angela Gibbs

• All providers in Decorah, IA
• Athletic Trainer in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2011; 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.