Michaela A Rumbaoa, ATC, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2017032778 Issued in MO

Practice address

1001 Rogers St
Columbia, MO 65201-4580

Phone

(660) 537-0284

NPI assigned

Feb 17, 2019

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

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": "1550361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550361600000",
    "number": "1124584933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 GRACE LN",
            "city": "BOONVILLE",
            "state": "MO",
            "postal_code": "652332146",
            "telephone_number": "660-537-0284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 ROGERS ST",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652014580",
            "telephone_number": "660-537-0284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUMBAOA",
        "first_name": "MICHAELA",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "ATC, LAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-17",
        "last_updated": "2019-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MO",
            "license": "2017032778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine M. Rudder, PHARM D.
• Sharin Rudder, PHARM.D.
• Timothy J Rudder
• Jeri Ruff, LCSW
• Cynthia Ruffolo, M.D.
• Ronald P Rumpf, M.D.
• Eddie Wayne Runde, M.D.
• Greta Katherine Runge
• Susan Lynn Runyon, FNP-C
• Jacqueline M Ruplinger, MD

• Athletic Trainer in Columbia, MO
• Providers in Columbia, MO by specialty
• Athletic Trainer in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2019; 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.