Active NPI
Cassandra Glodowski, MS,LAT,ATC
- Athletic Trainer
- Waupaca, WI
National Provider Identifier
1558814244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 1676-39
- Practice address
- E2325 King Rd
Waupaca, WI 54981-8270 - Phone
- (715) 258-4131
- NPI assigned
- Jul 28, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 | 1676-39 | WI | Primary |
Addresses
Primary practice location
E2325 King Rd
Waupaca, WI 54981-8270
Mailing address
E2325 King Rd
Waupaca, WI 54981-8270
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1676-39 | WI | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469664000000",
"number": "1558814244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "E2325 KING RD",
"city": "WAUPACA",
"state": "WI",
"postal_code": "549818270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "E2325 KING RD",
"city": "WAUPACA",
"state": "WI",
"postal_code": "549818270",
"telephone_number": "715-258-4131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLODOWSKI",
"first_name": "CASSANDRA",
"credential": "MS,LAT,ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-07-28",
"last_updated": "2016-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "WI",
"license": "1676-39",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waupaca, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.