Megan Renee Knudtson, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT.0002933 Issued in CO

Practice address

5012 Southfork LN
Waterloo, IA 50701-9576

Phone

(319) 464-0662

NPI assigned

Jul 29, 2024

Last updated

Aug 28, 2026By 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 2

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": "1722211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787875200000",
    "number": "1326877416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14",
            "city": "MINTURN",
            "state": "CO",
            "postal_code": "816450014",
            "telephone_number": "319-464-0662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5012 SOUTHFORK LN",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507019576",
            "telephone_number": "319-464-0662"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "180 S Frontage Rd W Ste 2700",
            "address_purpose": "LOCATION",
            "city": "Vail",
            "state": "CO",
            "postal_code": "816575038",
            "country_code": "US",
            "telephone_number": "970-476-7220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KNUDTSON",
        "first_name": "MEGAN",
        "middle_name": "RENEE",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-29",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CO",
            "license": "AT.0002933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamra S Knipp, OTR/L
• Knox Eyecare
• Bradley Joseph Knox, O.D.
• Amanda Marie Knudsen, ARNP
• Gary A Knudson, MD
• Kobliska Chiropractic, PLC
• Rodney Vincent Kobliska, D.C.
• Brooke Ann Koch
• Merri Koch, REGISTERED NURSE
• Nichole Irene Koch

• Athletic Trainer in Waterloo, IA
• Providers in Waterloo, IA by specialty
• Athletic Trainer in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; 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.