Individual provider Active NPI

Christina Rae Nelson, MAT, LAT, ATC

  • Athletic Trainer
  • Kearney, NE
National Provider Identifier
1245122993
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
1243 Issued in NE
Practice address
4010 R Ave Apt A4
Kearney, NE 68847-2302
Phone
(303) 501-0799
NPI assigned
Jul 17, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2025

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 1243 NE Primary

Addresses

Primary practice location

4010 R Ave Apt A4
Kearney, NE 68847-2302

Mailing address

4010 R Ave Apt A4
Kearney, NE 68847-2302

Other practice location 1

2501 15th Ave # Hsc
Kearney, NE 68849-2302
Phone (308) 865-8015

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
1243NEMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1752710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752710400000",
    "number": "1245122993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4010 R AVE APT A4",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688472302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 R AVE APT A4",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688472302",
            "telephone_number": "303-501-0799"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2501 15th Ave # Hsc",
            "address_purpose": "LOCATION",
            "city": "Kearney",
            "state": "NE",
            "postal_code": "688492302",
            "country_code": "US",
            "telephone_number": "308-865-8015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELSON",
        "first_name": "CHRISTINA",
        "middle_name": "RAE",
        "credential": "MAT, LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-17",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NE",
            "license": "1243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kearney, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2025; 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.