Emily Callista Cissell, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2251 Issued in AL

Practice address

651 Heisman Drive
Auburn, AL 36849-1404

Phone

(517) 898-5173

NPI assigned

Oct 2, 2018

Sex

Female

Sole proprietor

Yes

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": "1538438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594944000000",
    "number": "1053896464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4777 MOHICAN LN",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488641404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 HEISMAN DRIVE",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368491404",
            "telephone_number": "517-898-5173"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4777 Mohican Ln",
            "address_purpose": "LOCATION",
            "city": "Okemos",
            "state": "MI",
            "postal_code": "488641404",
            "country_code": "US",
            "telephone_number": "517-898-5173",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CISSELL",
        "first_name": "EMILY",
        "middle_name": "CALLISTA",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-02",
        "last_updated": "2020-07-17",
        "certification_date": "2020-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "AL",
            "license": "2251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah McElwee Cherry, MCD, CCC-SLP
• Aaron Sunghun Cho
• Kinsley Christian, M.S., CCC-SLP
• Jordan Nicole Church, LAT, ATC
• Rafal Ciepiela
• Kearston L Clark, ALC
• Kimberly Clemmons
• Braxton Wade Clines
• Clinical Psychologists, P.C.
• Erin Cobb

• Athletic Trainer in Auburn, AL
• Providers in Auburn, AL by specialty
• Athletic Trainer in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2020; 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.