Active NPI
Melissa Lynn Wassink, MS, ATC, LAT
- Athletic Trainer
- Geneva, NY
National Provider Identifier
1083030258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 36001987A
- Practice address
- 875 Pre Emption Rd
Geneva, NY 14456-2042 - Phone
- (315) 789-5061
- NPI assigned
- Mar 12, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 | 36001987A | IN | Primary |
Addresses
Primary practice location
875 Pre Emption Rd
Geneva, NY 14456-2042
Mailing address
9 Musket LN
Rochester, NY 14624-4962
Phone (585) 615-8142
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36001987A | IN | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1394582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446854400000",
"number": "1083030258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 MUSKET LN",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146244962",
"telephone_number": "585-615-8142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "875 PRE EMPTION RD",
"city": "GENEVA",
"state": "NY",
"postal_code": "144562042",
"telephone_number": "315-789-5061"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WASSINK",
"first_name": "MELISSA",
"middle_name": "LYNN",
"name_prefix": "Miss",
"credential": "MS, ATC, LAT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-03-12",
"last_updated": "2015-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "IN",
"license": "36001987A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Geneva, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.