Kelsi Huseman, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

0011069 Issued in IA

Practice address

800 University Dr
Maryville, MO 64468-6015

Phone

(712) 542-9053

NPI assigned

Sep 10, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1347235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347235200000",
    "number": "1417206129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2090 TOLBERT AVE",
            "city": "CLARINDA",
            "state": "IA",
            "postal_code": "516324060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 UNIVERSITY DR",
            "city": "MARYVILLE",
            "state": "MO",
            "postal_code": "644686015",
            "telephone_number": "712-542-9053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSEMAN",
        "first_name": "KELSI",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-10",
        "last_updated": "2012-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IA",
            "license": "0011069",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NE",
            "license": "607",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Joseph Honerman
• Debra Anne Hopkins, RPT
• Beth Marie Hornbuckle
• William G Humphreys, M.D.
• Kathleen M. Hurayt, F.N.P.
• Hy-Vee Inc (Hy-vee Pharmacy (1406))
• Chad William Jackson, PT, DPT, OCS
• Jacobson Counseling LLC
• Christine Marie Jacobson, LCSW
• Hailey Dawn Jahnel, DPT

• Athletic Trainer in Maryville, MO
• Providers in Maryville, MO by specialty
• Athletic Trainer in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2012; 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.