Individual provider Active NPI

Katelyn Utter, ATC

  • Athletic Trainer
  • Ainsworth, NE
National Provider Identifier
1386164598
Registry record updated Aug 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
781 Issued in NE
Practice address
212 N Main St
Ainsworth, NE 69210
Phone
(402) 387-1600
NPI assigned
Jun 20, 2017
Last updated
Aug 3, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2018

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 781 NE Primary

Addresses

Primary practice location

212 N Main St
Ainsworth, NE 69210

Mailing address

297 S Main St
Long Pine, NE 69217-6400
Phone (308) 880-0019

Other practice location 1

1201 N Erie St
Lexington, NE 68850-1560
Phone (308) 324-8333

Other practice location 2

1201 N Erie St
Lexington, NE 68850-1560
Phone (308) 324-8333

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rangeland Rehab, P.C. PastSince Aug 15, 2016 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": "1497916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533254400000",
    "number": "1386164598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "297 S MAIN ST",
            "city": "LONG PINE",
            "state": "NE",
            "postal_code": "692176400",
            "telephone_number": "308-880-0019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 N MAIN ST",
            "city": "AINSWORTH",
            "state": "NE",
            "postal_code": "69210",
            "telephone_number": "402-387-1600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 N Erie St",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "NE",
            "postal_code": "688501560",
            "country_code": "US",
            "telephone_number": "308-324-8333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1201 N Erie St",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "NE",
            "postal_code": "688501560",
            "country_code": "US",
            "telephone_number": "308-324-8333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UTTER",
        "first_name": "KATELYN",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-20",
        "last_updated": "2018-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NE",
            "license": "781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ainsworth, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.

Verify at the official NPI Registry.