Active NPI
Krystyna F Nau, ATC, CSFA
- Athletic Trainer
- Evans, GA
National Provider Identifier
1437527652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT003501
- Practice address
- 4300 University Pkwy
Evans, GA 30809-3063 - Phone
- (706) 721-8623
- NPI assigned
- Sep 3, 2015
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 002219 | NY | |
| Surgical Assistant | 246ZC0007X | |||
| Athletic Trainer | 2255A2300X | AT003501 | GA | Primary |
Addresses
Primary practice location
4300 University Pkwy
Evans, GA 30809-3063
Mailing address
1120 15TH St Ste Bi-1056
Augusta, GA 30912-0004
Phone (706) 721-3813
Other practice location 1
3620 Joseph Siewick Dr
Suite 201
Fairfax, VA 22033-1756
Phone (703) 391-0111
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 162390 | Other | CSFA CERTIFICATION NUMBER | |
| AT003501 | Other | GA | ATHLETIC TRAINER LICENSE |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002219 | NY | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585526400000",
"number": "1437527652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1120 15TH ST STE BI-1056",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309120004",
"telephone_number": "706-721-3813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4300 UNIVERSITY PKWY",
"city": "EVANS",
"state": "GA",
"postal_code": "308093063",
"telephone_number": "706-721-8623"
}
],
"practiceLocations": [
{
"address_1": "3620 Joseph Siewick Dr",
"address_2": "Suite 201",
"address_purpose": "LOCATION",
"city": "Fairfax",
"state": "VA",
"postal_code": "220331756",
"country_code": "US",
"telephone_number": "703-391-0111",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NAU",
"first_name": "KRYSTYNA",
"middle_name": "F",
"credential": "ATC, CSFA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-03",
"last_updated": "2020-03-30",
"certification_date": "2020-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NY",
"license": "002219",
"primary": false
},
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "GA",
"license": "AT003501",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CSFA CERTIFICATION NUMBER",
"identifier": "162390",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ATHLETIC TRAINER LICENSE",
"identifier": "AT003501",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Evans, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.