Active NPI
Cassandra Kohlhause
- Athletic Trainer
- Lawrenceville, IL
National Provider Identifier
1487299202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 096.003903
- Practice address
- 2200 James St
Lawrenceville, IL 62439-2028 - Phone
- (618) 943-3389
- NPI assigned
- Nov 15, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 096.003903 | IL | Primary |
Addresses
Primary practice location
2200 James St
Lawrenceville, IL 62439-2028
Mailing address
1418 College Dr
Mount Carmel, IL 62863-2638
Phone (618) 263-6400
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ckohlhause@wabashgeneral.com | Direct | Wabash General Hospital District |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 096.003903 | IL | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1487299202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1418 COLLEGE DR",
"city": "MOUNT CARMEL",
"state": "IL",
"postal_code": "628632638",
"telephone_number": "618-263-6400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 JAMES ST",
"city": "LAWRENCEVILLE",
"state": "IL",
"postal_code": "624392028",
"telephone_number": "618-943-3389"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOHLHAUSE",
"first_name": "CASSANDRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-15",
"last_updated": "2023-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "IL",
"license": "096.003903",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ckohlhause@wabashgeneral.com",
"affiliation": "Y",
"affiliationName": "Wabash General Hospital District",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1418 College Dr",
"city": "Mount Carmel",
"state": "IL",
"country_code": "US",
"postal_code": "628632638",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Lawrenceville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.