Individual provider Active NPI

Deborah Ann Yenser, MS, LAT, ATC

  • Athletic Trainer
  • Madison, WI
National Provider Identifier
1326469180
Registry record updated Apr 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
1996-39 Issued in WI
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

Updated by the provider on Apr 10, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
RT004531PAMDAthletic Trainer
1996-39WIMDAthletic 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.

Verify at the official NPI Registry.