Nathan Ryan Werremeyer, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2010020243 Issued in MO

Practice address

5270 Flat River Dr
Park Hills, MO 63601-2224

Phone

(573) 480-6479

Fax

(573) 518-2153

NPI assigned

Apr 16, 2010

Last updated

Sep 14, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

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": "1271376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284422400000",
    "number": "1104142033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 SHADE TREE LN",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636407708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5270 FLAT RIVER DR",
            "city": "PARK HILLS",
            "state": "MO",
            "postal_code": "636012224",
            "telephone_number": "573-480-6479",
            "fax_number": "573-518-2153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WERREMEYER",
        "first_name": "NATHAN",
        "middle_name": "RYAN",
        "name_prefix": "Mr.",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-16",
        "last_updated": "2010-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MO",
            "license": "2010020243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy L Tucker, FNP-BC
• Carla Sue Vasquez, R.D.H.
• Crystal Warren, RN
• Jessica Weber, LPC
• Melinda Ann Weber, LCSW
• Sarah Rose Wesbecher
• Melissa West
• Christine C Whitlock, LPC
• Frank Michael Wiley, DDS
• Angela Marie Wurst, LMSW

• Athletic Trainer in Park Hills, MO
• Providers in Park Hills, MO by specialty
• Athletic Trainer in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2010; 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.