Ann Wittkopp, ATC, CSCS

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

751-17 Issued in ND

Practice address

291 Campus Dr
Dickinson, ND 58601-4896

Phone

(509) 899-6500

NPI assigned

Jul 5, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Central Washington University Student Health Counseling and Wellness

  • Health Service Clinic/Center
  • Ellensburg, WA
  • NPI 1548460025
  NPD (past)

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

{
    "created_epoch": "1309824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591488000000",
    "number": "1427345941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "291 CAMPUS DR",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586014896",
            "telephone_number": "509-899-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "291 CAMPUS DR",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586014896",
            "telephone_number": "509-899-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITTKOPP",
        "first_name": "ANN",
        "credential": "ATC, CSCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-05",
        "last_updated": "2020-06-07",
        "certification_date": "2020-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "ND",
            "license": "751-17",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Willmar Hearing Aid Center
• Nicole Marie Wilson Hall, DO
• Winds of Change Counseling Services LLC
• Jason Matthew Winter
• Rose Witt
• Roberta Wock
• Amanda Woehl
• Ashley K Woitel
• Craig Jason Wolf, MD
• Dennis E Wolf, MD

• All providers in Dickinson, ND
• Athletic Trainer in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2020; 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.