Individual provider Active NPI

Mary-Katherine Justina Schnacker, MAT, LAT, ATC

  • Athletic Trainer
  • Batesville, AR
National Provider Identifier
1417885377
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
AT1113 Issued in AR
Practice address
2300 Highland Rd
Batesville, AR 72501-3699
Phone
(870) 307-7053
NPI assigned
May 11, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2026

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 AT1113 AR Primary

Addresses

Primary practice location

2300 Highland Rd
Batesville, AR 72501-3699

Mailing address

4 Chamblee Cir
Southside, AR 72501-8000
Phone (940) 704-6546

Other names 1

  • Katie Schnacker Other name

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
AT1113ARMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1778457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1417885377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 CHAMBLEE CIR",
            "city": "SOUTHSIDE",
            "state": "AR",
            "postal_code": "725018000",
            "telephone_number": "940-704-6546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 HIGHLAND RD",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725013699",
            "telephone_number": "870-307-7053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHNACKER",
        "first_name": "MARY-KATHERINE",
        "middle_name": "JUSTINA",
        "credential": "MAT, LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-11",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "AR",
            "license": "AT1113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "SCHNACKER",
            "credential": "MAT, LAT, ATC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Batesville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; 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.