Active NPI
Tenshi Furumi, MA, ATC
- Athletic Trainer
- Springfield, IL
National Provider Identifier
1447519111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 096.003704
- Practice address
- One University Plaza, Univ. of Illinois-Springfield
Ms Rec 2004
Springfield, IL 62703 - Phone
- (217) 206-7597
- Fax
- (217) 206-7111
- NPI assigned
- May 15, 2012
- Sex
- Male
- 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 | 096.003704 | IL | Primary |
Addresses
Primary practice location
One University Plaza, Univ. of Illinois-Springfield
Ms Rec 2004
Springfield, IL 62703
Mailing address
One University Plaza, Univ. of Illinois-Springfield
Ms Rec 2004
Springfield, IL 62703
Phone (217) 206-7597
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2000003658 | Other | NATIONAL ATHLETIC TRAINERS' ASSOCIATION BOARD OF CERTIFICATION |
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 096.003704 | IL | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478217600000",
"number": "1447519111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ONE UNIVERSITY PLAZA, UNIV. OF ILLINOIS-SPRINGFIELD",
"address_2": "MS REC 2004",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "62703",
"telephone_number": "217-206-7597",
"fax_number": "217-206-7111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ONE UNIVERSITY PLAZA, UNIV. OF ILLINOIS-SPRINGFIELD",
"address_2": "MS REC 2004",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "62703",
"telephone_number": "217-206-7597",
"fax_number": "217-206-7111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FURUMI",
"first_name": "TENSHI",
"name_prefix": "Mr.",
"credential": "MA, ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-05-15",
"last_updated": "2016-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "IL",
"license": "096.003704",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONAL ATHLETIC TRAINERS' ASSOCIATION BOARD OF CERTIFICATION",
"identifier": "2000003658",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Springfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.