Active NPI
Lucas Kratzer
- Athletic Trainer
- Lincoln, NE
National Provider Identifier
1356844633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 856
- Practice address
- PO Box 880128
Lincoln, NE 68588-0128 - Phone
- (402) 472-2276
- NPI assigned
- Mar 13, 2018
- Sex
- Male
- 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 | 856 | NE | Primary |
Addresses
Primary practice location
PO Box 880128
Lincoln, NE 68588-0128
Mailing address
4022 Wilkes CT
Warrenton, VA 20187-3917
Phone (540) 359-5384
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 856 | NE | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1520899200000",
"number": "1356844633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4022 WILKES CT",
"city": "WARRENTON",
"state": "VA",
"postal_code": "201873917",
"telephone_number": "540-359-5384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PO BOX 880128",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685880128",
"telephone_number": "402-472-2276"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRATZER",
"first_name": "LUCAS",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-03-13",
"last_updated": "2018-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NE",
"license": "856",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.