Nicholas T Hart, MS, ATC
Individual provider Active NPI Athletic Trainer · Ralston, NE
NPI 1013564483 · NPPES record last updated Aug 21, 2019
Key facts
- NPI
- 1013564483
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- 084050 (IA)
- Practice address
- 7300 Q St
Ralston, NE 68127-3941 - Phone
- (402) 326-4672
- NPI assigned
- Aug 21, 2019
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 084050 | IA | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 084050 | IA | Yes |
Addresses
Primary practice location
7300 Q St
Ralston, NE 68127-3941
Mailing address
7616 Grand Oaks Cir
Lincoln, NE 68516-4300
Phone (402) 326-4672
Other providers in Ralston, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 21, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.