Active NPI
Natalie Ligtenberg, ATC
- Athletic Trainer
- Prairie Village, KS
National Provider Identifier
1326711300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 4409 W 63Rd St
Prairie Village, KS 66208-1508 - Phone
- (208) 749-0504
- NPI assigned
- Jul 27, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | Primary |
Addresses
Primary practice location
4409 W 63Rd St
Prairie Village, KS 66208-1508
Mailing address
4409 W 63Rd St
Prairie Village, KS 66208-1508
Phone (208) 749-0504
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | nligtenberg@kumc.edu | Direct |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684972800000",
"number": "1326711300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4409 W 63RD ST",
"city": "PRAIRIE VILLAGE",
"state": "KS",
"postal_code": "662081508",
"telephone_number": "208-749-0504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4409 W 63RD ST",
"city": "PRAIRIE VILLAGE",
"state": "KS",
"postal_code": "662081508",
"telephone_number": "208-749-0504"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIGTENBERG",
"first_name": "NATALIE",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-07-27",
"last_updated": "2023-05-25",
"certification_date": "2023-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "nligtenberg@kumc.edu",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "4409 W 63rd St",
"city": "Prairie Village",
"state": "KS",
"country_code": "US",
"postal_code": "662081508",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Prairie Village, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.