Active NPI
Amy Lynn Junk, ATC
- Athletic Trainer
- Ladysmith, WI
National Provider Identifier
1215327564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 1652-39
- Practice address
- 900 College Ave W
Ladysmith, WI 54848-2116 - Phone
- (715) 532-5561
- NPI assigned
- Jan 26, 2015
- Last updated
- Jan 26, 2015
- Sex
- Female
- Sole proprietor
- No
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 | 1652-39 | WI | Primary |
Addresses
Primary practice location
900 College Ave W
Ladysmith, WI 54848-2116
Mailing address
900 College Ave W
Ladysmith, WI 54848-2116
Phone (715) 532-5561
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1652-39 | WI | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422230400000",
"number": "1215327564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 COLLEGE AVE W",
"city": "LADYSMITH",
"state": "WI",
"postal_code": "548482116",
"telephone_number": "715-532-5561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 COLLEGE AVE W",
"city": "LADYSMITH",
"state": "WI",
"postal_code": "548482116",
"telephone_number": "715-532-5561"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUNK",
"first_name": "AMY",
"middle_name": "LYNN",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-26",
"last_updated": "2015-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "WI",
"license": "1652-39",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ladysmith, WI
- Indianhead Community Action Agency Incorporated (Indianhead Home Health Care Agency)
- Indianhead Community Action Agency Incorporated
- Lynnette Kay Jenness, SAC-IT
- Robin Johnson, P.T.A.
- Chandler Jean Jones, DMD
- Julie Lynn Kammerud, DPT
- Jason R. Kelbel, DDS
- Sean P. Kennedy, DMD
- Key Care Inc
- Kinbridge Rehabilitation Services LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.