Nancy Ranae Ott, MS, ATC, CSCS

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

413-039 Issued in WI

Practice address

202 S Park St
Meriter Atrium
Madison, WI 53715-1507

Phone

(608) 267-5883

Fax

(608) 267-5966

NPI assigned

Feb 16, 2007

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

Other names 1

• Ms. Nancy Ranae Willmert Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306980305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "831 FOREST VIEW DR",
            "city": "VERONA",
            "state": "WI",
            "postal_code": "535931738",
            "telephone_number": "608-497-0491",
            "fax_number": "608-267-5966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 S PARK ST",
            "address_2": "MERITER ATRIUM",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537151507",
            "telephone_number": "608-267-5883",
            "fax_number": "608-267-5966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTT",
        "first_name": "NANCY",
        "middle_name": "RANAE",
        "name_prefix": "Mrs.",
        "credential": "MS, ATC, CSCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "WI",
            "license": "413-039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "WILLMERT",
            "middle_name": "RANAE",
            "prefix": "MS.",
            "credential": "MS, ATC, CSCS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Joanna Lee Otis, MS, RDN, CD, CNSC
• Erkin Otles, MD, PHD
• Jeremy Richard Ott-Holland, PHARMD
• Jillaine Louise Ott, OTA
• Kayla Ott
• Sophia Ott, MSW
• Wendi Ott, REGISTERED NURSE
• Linsey Otterson
• James Otto
• Hailey Marie Walch Ottosen, OTR/L

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

• 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.