Active NPI
Cassandra Marie Deblauw, MS, ATC
- Athletic Trainer
- Kirksville, MO
National Provider Identifier
1386609139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 2005020755
- Practice address
- 100 E Normal St
Pershing Building 122
Kirksville, MO 63501-4200 - Phone
- (660) 785-7272
- NPI assigned
- Apr 17, 2006
- 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 | 2005020755 | MO | Primary |
Addresses
Primary practice location
100 E Normal St
Pershing Building 122
Kirksville, MO 63501-4200
Mailing address
2204 N East St
Kirksville, MO 63501-2110
Phone (660) 785-7272
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2005020755 | MO | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295568000000",
"number": "1386609139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2204 N EAST ST",
"city": "KIRKSVILLE",
"state": "MO",
"postal_code": "635012110",
"telephone_number": "660-785-7272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 E NORMAL ST",
"address_2": "PERSHING BUILDING 122",
"city": "KIRKSVILLE",
"state": "MO",
"postal_code": "635014200",
"telephone_number": "660-785-7272"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEBLAUW",
"first_name": "CASSANDRA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "MS, ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-17",
"last_updated": "2011-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MO",
"license": "2005020755",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kirksville, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.