Active NPI
Jason Paul Linzmeier, ATC
- Athletic Trainer
- Sturgeon Bay, WI
National Provider Identifier
1497144117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 1492
- Practice address
- 1300 Egg Harbor Rd
Suite #108
Sturgeon Bay, WI 54235-1277 - Phone
- (920) 495-4303
- NPI assigned
- Jan 19, 2015
- 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 | 1492 | WI | Primary |
Addresses
Primary practice location
1300 Egg Harbor Rd
Suite #108
Sturgeon Bay, WI 54235-1277
Mailing address
990 S Oxford Ave
Apt 6
Sturgeon Bay, WI 54235-2073
Phone (920) 495-4303
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 |
|---|---|---|---|
| 1492 | WI | MD | Clinical Child & Adolescent Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421625600000",
"number": "1497144117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "990 S OXFORD AVE",
"address_2": "APT 6",
"city": "STURGEON BAY",
"state": "WI",
"postal_code": "542352073",
"telephone_number": "920-495-4303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 EGG HARBOR RD",
"address_2": "SUITE #108",
"city": "STURGEON BAY",
"state": "WI",
"postal_code": "542351277",
"telephone_number": "920-495-4303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINZMEIER",
"first_name": "JASON",
"middle_name": "PAUL",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-01-19",
"last_updated": "2015-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "WI",
"license": "1492",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sturgeon Bay, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.