Hannah Mae Walek, MS, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT.0002344 Issued in CO

Practice address

901 W Plum St
Fort Collins, CO 80521-1186

Phone

(970) 775-4597

NPI assigned

Aug 30, 2017

Last updated

Dec 5, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Hannah Mae Ellis Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1504051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1053839902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "446 PONY EXPRESS TRL",
            "city": "AULT",
            "state": "CO",
            "postal_code": "806109771",
            "telephone_number": "970-775-4597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 W PLUM ST",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805211186",
            "telephone_number": "970-775-4597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALEK",
        "first_name": "HANNAH",
        "middle_name": "MAE",
        "name_prefix": "Miss",
        "credential": "MS, LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-30",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CO",
            "license": "AT.0002344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HANNAH",
            "last_name": "ELLIS",
            "middle_name": "MAE",
            "credential": "MS, ATC, LAT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Athletic Trainer in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Athletic Trainer in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; 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.