Active NPI
Michelle Lee Seagren, ATC, LAT
- Athletic Trainer
- Norfolk, NE
National Provider Identifier
1386316693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 1019064
- Practice address
- 1500 Koenigstein Ave
Norfolk, NE 68701-3664 - Phone
- (402) 360-0156
- NPI assigned
- Oct 5, 2021
- Sex
- Female
- 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 | 1019064 | NE | Primary |
Addresses
Primary practice location
1500 Koenigstein Ave
Norfolk, NE 68701-3664
Mailing address
1500 Koenigstein Ave
Norfolk, NE 68701-3664
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | mseagren@frhs.org |
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 |
|---|---|---|---|
| 1019064 | NE | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633996800000",
"number": "1386316693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 KOENIGSTEIN AVE",
"city": "NORFOLK",
"state": "NE",
"postal_code": "687013664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 KOENIGSTEIN AVE",
"city": "NORFOLK",
"state": "NE",
"postal_code": "687013664",
"telephone_number": "402-360-0156"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEAGREN",
"first_name": "MICHELLE",
"middle_name": "LEE",
"credential": "ATC, LAT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-10-05",
"last_updated": "2021-10-12",
"certification_date": "2021-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NE",
"license": "1019064",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "mseagren@frhs.org",
"affiliation": "N",
"endpointDescription": "Email",
"address_1": "54434 875 Rd",
"city": "Wausa",
"state": "NE",
"country_code": "US",
"postal_code": "687868638",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Norfolk, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.