Active NPI
Meagan Zerrusen
- Athletic Trainer
- Effingham, IL
National Provider Identifier
1053657254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 096.003200
- Practice address
- 1106 N Merchant St
Effingham, IL 62401-2128 - Phone
- (217) 342-7000
- NPI assigned
- Dec 17, 2012
- Last updated
- Dec 17, 2012
- 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 | 096.003200 | IL | Primary |
Addresses
Primary practice location
1106 N Merchant St
Effingham, IL 62401-2128
Mailing address
616 W Water St
Teutopolis, IL 62467-1018
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 |
|---|---|---|---|
| 096.003200 | IL | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355702400000",
"number": "1053657254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "616 W WATER ST",
"city": "TEUTOPOLIS",
"state": "IL",
"postal_code": "624671018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1106 N MERCHANT ST",
"city": "EFFINGHAM",
"state": "IL",
"postal_code": "624012128",
"telephone_number": "217-342-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZERRUSEN",
"first_name": "MEAGAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-12-17",
"last_updated": "2012-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "IL",
"license": "096.003200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Effingham, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.