Individual provider Active NPI

Marissa M. Oachs, ATC/ATR

  • Athletic Trainer
  • Burnsville, MN
National Provider Identifier
1457593451
Registry record updated Apr 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
2786 Issued in MN
Practice address
2508 E 121St St
Burnsville, MN 55337-3010
Phone
(507) 351-4770
NPI assigned
Apr 6, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2016

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 2786 MN Primary

Addresses

Primary practice location

2508 E 121St St
Burnsville, MN 55337-3010

Mailing address

2508 E 121St St
Burnsville, MN 55337-3010
Phone (507) 351-4770

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
2786MNMDHearing Instrument Specialist

NPI Registry JSON

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

{
    "created_epoch": "1238976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461024000000",
    "number": "1457593451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2508 E 121ST ST",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553373010",
            "telephone_number": "507-351-4770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2508 E 121ST ST",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553373010",
            "telephone_number": "507-351-4770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OACHS",
        "first_name": "MARISSA",
        "middle_name": "M.",
        "name_prefix": "Mrs.",
        "credential": "ATC/ATR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-06",
        "last_updated": "2016-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MN",
            "license": "2786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burnsville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.

Verify at the official NPI Registry.