Individual provider Active NPI

Wednesday Bienusa, ATC

  • Athletic Trainer
  • Santa Barbara, CA
National Provider Identifier
1164891297
Registry record updated Feb 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
Practice address
Department of Intercollegiate Athletics
UC Santa Barbara, Ica Building
Santa Barbara, CA 93106-5200
Phone
(805) 319-1424
NPI assigned
Sep 18, 2015
Last updated
Feb 20, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2019

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 Primary

Addresses

Primary practice location

Department of Intercollegiate Athletics
UC Santa Barbara, Ica Building
Santa Barbara, CA 93106-5200

Mailing address

319 Sylvan Dr
Goleta, CA 93117-2108
Phone (530) 417-4481

Other practice location 1

1630 E Bulldog Ln Of87
Fresno, CA 93740-7400
Phone (559) 278-4170

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

NPI Registry JSON

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

{
    "created_epoch": "1442534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550620800000",
    "number": "1164891297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 SYLVAN DR",
            "city": "GOLETA",
            "state": "CA",
            "postal_code": "931172108",
            "telephone_number": "530-417-4481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DEPARTMENT OF INTERCOLLEGIATE ATHLETICS",
            "address_2": "UC SANTA BARBARA, ICA BUILDING",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931065200",
            "telephone_number": "805-319-1424"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1630 E Bulldog Ln Of87",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937407400",
            "country_code": "US",
            "telephone_number": "559-278-4170",
            "fax_number": "559-278-8355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BIENUSA",
        "first_name": "WEDNESDAY",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-18",
        "last_updated": "2019-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.