Individual provider Active NPI

Bree Arensdorf

  • Athletic Trainer
  • Maquoketa, IA
National Provider Identifier
1154098143
Registry record updated Aug 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
083739 Issued in IA
Practice address
601 Hospital Dr
Maquoketa, IA 52060-1201
Phone
(563) 652-2474
NPI assigned
Aug 26, 2021
Last updated
Aug 26, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 083739 IA Primary

Addresses

Primary practice location

601 Hospital Dr
Maquoketa, IA 52060-1201

Mailing address

911 Lisa Dr
Maquoketa, IA 52060-2553

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address arensdorfb@genesishealth.com

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

State licenses

LicenseStateTypeSpecialty
083739IAMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1629936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629936000000",
    "number": "1154098143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 LISA DR",
            "city": "MAQUOKETA",
            "state": "IA",
            "postal_code": "520602553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 HOSPITAL DR",
            "city": "MAQUOKETA",
            "state": "IA",
            "postal_code": "520601201",
            "telephone_number": "563-652-2474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARENSDORF",
        "first_name": "BREE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-26",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IA",
            "license": "083739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "arensdorfb@genesishealth.com",
            "affiliation": "N",
            "endpointDescription": "Employee Email",
            "address_1": "601 Hospital Dr",
            "city": "Maquoketa",
            "state": "IA",
            "country_code": "US",
            "postal_code": "520601201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Maquoketa, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.