Active NPI
McColm Thai Dien Pursell, ATC
- Athletic Trainer
- Des Moines, IA
National Provider Identifier
1578448882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 4600 NW 2ND St
Des Moines, IA 50313-2254 - Phone
- (913) 201-1807
- NPI assigned
- Aug 6, 2025
- Last updated
- Aug 6, 2025
- 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 | IA | Primary |
Addresses
Primary practice location
4600 NW 2ND St
Des Moines, IA 50313-2254
Mailing address
2530 University Ave Apt 321
Des Moines, IA 50311-4517
Phone (913) 201-1807
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1754438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754438400000",
"number": "1578448882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2530 UNIVERSITY AVE APT 321",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503114517",
"telephone_number": "913-201-1807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4600 NW 2ND ST",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503132254",
"telephone_number": "913-201-1807"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PURSELL",
"first_name": "MCCOLM",
"middle_name": "THAI DIEN",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-08-06",
"last_updated": "2025-08-06",
"certification_date": "2025-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "IA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.