Active NPI
Deborah Ann Yenser, MS, LAT, ATC
- Athletic Trainer
- Madison, WI
National Provider Identifier
1326469180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 1996-39
- Practice address
- 601 W Dayton St
Madison, WI 53715-1206 - Phone
- (608) 572-1192
- NPI assigned
- Dec 21, 2013
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | RT004531 | PA | |
| Athletic Trainer | 2255A2300X | DC | ||
| Athletic Trainer | 2255A2300X | 1996-39 | WI | Primary |
Addresses
Primary practice location
601 W Dayton St
Madison, WI 53715-1206
Mailing address
18 S Bedford St Apt 305
Madison, WI 53703-3082
Phone (484) 356-6474
Other practice location 1
600 22nd St NW
Washington, DC 20052-0055
Phone (202) 994-5779
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RT004531 | PA | MD | Athletic Trainer |
| 1996-39 | WI | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1387584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586476800000",
"number": "1326469180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 S BEDFORD ST APT 305",
"city": "MADISON",
"state": "WI",
"postal_code": "537033082",
"telephone_number": "484-356-6474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 W DAYTON ST",
"city": "MADISON",
"state": "WI",
"postal_code": "537151206",
"telephone_number": "608-572-1192"
}
],
"practiceLocations": [
{
"address_1": "600 22nd St NW",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200520055",
"country_code": "US",
"telephone_number": "202-994-5779",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YENSER",
"first_name": "DEBORAH",
"middle_name": "ANN",
"credential": "MS, LAT, ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-12-21",
"last_updated": "2020-04-10",
"certification_date": "2020-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "PA",
"license": "RT004531",
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "DC",
"license": null,
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "WI",
"license": "1996-39",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.