Marielle Louise Gatenby, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

1085 Issued in MN

Practice address

406 N Faxon Rd
Norwood Young America, MN 55368-9507

Phone

(952) 467-1915

NPI assigned

Nov 13, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285705087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4234 90TH ST",
            "city": "GLENCOE",
            "state": "MN",
            "postal_code": "553365505",
            "telephone_number": "952-467-1915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 N FAXON RD",
            "city": "NORWOOD YOUNG AMERICA",
            "state": "MN",
            "postal_code": "553689507",
            "telephone_number": "952-467-1915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GATENBY",
        "first_name": "MARIELLE",
        "middle_name": "LOUISE",
        "name_prefix": "Ms.",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MN",
            "license": "1085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooklin Bates, D.C.
• Leland Lane Brincefield, D.C.
• Logan Lee Brincefield, D.C.
• City of Norwood Young America (The Harbor at Peace Village)
• Allison Cruse, CCC-SLP
• Erin Rose Jensen
• Samantha Jones, DC
• Emily Koloc
• Amy Marie Hjermstad Lolling, CD(DONA)
• Cara Elizabeth Mach, BCTMB

• Athletic Trainer in Norwood Young America, MN
• Providers in Norwood Young America, MN by specialty
• Athletic Trainer in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.