Active NPI
Viviani Schillace, A.T.
- Athletic Trainer
- Bucyrus, OH
National Provider Identifier
1376931931
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 004111
- Practice address
- 351 S Lane St
Bucyrus, OH 44820-2319 - Phone
- (419) 562-6686
- NPI assigned
- Jan 6, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 004111 | OH | Primary |
Addresses
Primary practice location
351 S Lane St
Bucyrus, OH 44820-2319
Mailing address
351 S Lane St
Bucyrus, OH 44820-2319
Phone (419) 562-6686
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 |
|---|---|---|---|
| 004111 | OH | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1420502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1420502400000",
"number": "1376931931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "351 S LANE ST",
"city": "BUCYRUS",
"state": "OH",
"postal_code": "448202319",
"telephone_number": "419-562-6686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "351 S LANE ST",
"city": "BUCYRUS",
"state": "OH",
"postal_code": "448202319",
"telephone_number": "419-562-6686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHILLACE",
"first_name": "VIVIANI",
"credential": "A.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-06",
"last_updated": "2015-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "OH",
"license": "004111",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bucyrus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.