Individual provider Active NPI

Sarah Michelle Schultz, LAT, ATC

  • Athletic Trainer
  • Marion, IN
National Provider Identifier
1386054302
Registry record updated Apr 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
36002179A Issued in IN
Practice address
4201 S Washington Street
Indiana Wesleyan University Athletic Training
Marion, IN 46953
Phone
(765) 677-3335
Fax
(765) 677-1676
NPI assigned
Apr 29, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 36002179A IN Primary

Addresses

Primary practice location

4201 S Washington Street
Indiana Wesleyan University Athletic Training
Marion, IN 46953

Mailing address

3740 S Felton St
Marion, IN 46953-4327
Phone (765) 677-3335

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

LicenseStateTypeSpecialty
36002179AINMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana Wesleyan University Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1398729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398729600000",
    "number": "1386054302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3740 S FELTON ST",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469534327",
            "telephone_number": "765-677-3335",
            "fax_number": "765-677-1676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 S WASHINGTON STREET",
            "address_2": "INDIANA WESLEYAN UNIVERSITY ATHLETIC TRAINING",
            "city": "MARION",
            "state": "IN",
            "postal_code": "46953",
            "telephone_number": "765-677-3335",
            "fax_number": "765-677-1676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULTZ",
        "first_name": "SARAH",
        "middle_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "LAT, ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-29",
        "last_updated": "2014-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IN",
            "license": "36002179A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2014; 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.