Sylvia Czerniak

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

203 Richmond Rd Apt C
Delavan, WI 53115-1615

Phone

(262) 394-3363

NPI assigned

Aug 29, 2022

Last updated

Aug 30, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661817600000",
    "number": "1235859653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 RICHMOND RD APT C",
            "city": "DELAVAN",
            "state": "WI",
            "postal_code": "531151615",
            "telephone_number": "262-394-3363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 RICHMOND RD APT C",
            "city": "DELAVAN",
            "state": "WI",
            "postal_code": "531151615",
            "telephone_number": "262-394-3363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CZERNIAK",
        "first_name": "SYLVIA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-29",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sylvia@fitnfaithfitness.com",
            "affiliation": "N",
            "endpointDescription": "business email address",
            "address_1": "203 Richmond Rd Apt C",
            "city": "Delavan",
            "state": "WI",
            "country_code": "US",
            "postal_code": "531151615",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Careatc - Andes Candies
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• City of Delavan
• Kamryn Clifford
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• Kendra J Damaschke, RN
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• Gary Dean

• Athletic Trainer in Delavan, WI
• Providers in Delavan, WI by specialty
• Athletic Trainer in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; 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.