Judi Lynn Tekautz, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

1051 Issued in MN

Practice address

111 Riverfront
Suite 307
Winona, MN 55987-3456

Phone

(507) 474-9300

Fax

(507) 474-9302

NPI assigned

Apr 20, 2006

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jtekautz141691@ehrdirect.mayoclinicmsg.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Gray Matters Therapy LLC

  • Professional Counselor
  • Winona, MN
  • NPI 1720894710
  NPD (past)
• Southeast Minnesota Sports Medicine & Orthopaedic Surgery Specialists

  • Specialist
  • Winona, MN
  • NPI 1558326942
  NPD (past)

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622073600000",
    "number": "1063478907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 RIVERFRONT",
            "address_2": "SUITE 307",
            "city": "WINONA",
            "state": "MN",
            "postal_code": "559873456",
            "telephone_number": "507-474-9300",
            "fax_number": "507-474-9302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 RIVERFRONT",
            "address_2": "SUITE 307",
            "city": "WINONA",
            "state": "MN",
            "postal_code": "559873456",
            "telephone_number": "507-474-9300",
            "fax_number": "507-474-9302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEKAUTZ",
        "first_name": "JUDI",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-20",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MN",
            "license": "1051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jtekautz141691@ehrdirect.mayoclinicmsg.org",
            "affiliation": "N",
            "address_1": "111 Riverfront",
            "address_2": "Suite 307",
            "city": "Winona",
            "state": "MN",
            "country_code": "US",
            "postal_code": "559873456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• David Earl Taber, D.D.S.
• Dean Paul Tarasewicz
• Neil H Tator, PA
• Ava Lynn Taylor
• Heather Teichroew, LPCC
• Victoria Tempski
• Catherine Tesmer, RPH
• Amy Beth Tevis, CRNA
• Hannah Tezak, LPCC, ATR
• Kao Lee Thao

• Athletic Trainer in Winona, MN
• Providers in Winona, MN by specialty
• Athletic Trainer in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; 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.