Individual provider Active NPI

Cassandra Metzner, ATC

  • Athletic Trainer
  • Lincoln, NE
National Provider Identifier
1457730657
Registry record updated May 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
613 Issued in NE
Practice address
5831 N 23Rd St Apt 102
Lincoln, NE 68521-1094
Phone
(402) 245-0156
NPI assigned
May 21, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2015

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 613 NE Primary

Addresses

Primary practice location

5831 N 23Rd St Apt 102
Lincoln, NE 68521-1094

Mailing address

5831 N 23Rd St Apt 102
Lincoln, NE 68521-1094
Phone (402) 245-0156

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
613NEMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1432166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432166400000",
    "number": "1457730657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5831 N 23RD ST APT 102",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685211094",
            "telephone_number": "402-245-0156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5831 N 23RD ST APT 102",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685211094",
            "telephone_number": "402-245-0156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METZNER",
        "first_name": "CASSANDRA",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-21",
        "last_updated": "2015-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NE",
            "license": "613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2015; 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.