Individual provider Active NPI

Sara D Mosser, ATC, LAT, MBA

  • Athletic Trainer
  • Sheboygan, WI
National Provider Identifier
1578994000
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
1354-39 Issued in WI
Practice address
2926 N 10TH St
Sheboygan, WI 53083-4005
Phone
(920) 803-7716
NPI assigned
Dec 10, 2013
Last updated
Apr 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

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 1354-39 WI Primary

Addresses

Primary practice location

2926 N 10TH St
Sheboygan, WI 53083-4005

Mailing address

1914 N 27TH St
Sheboygan, WI 53081-2037
Phone (920) 980-7086

Other practice location 1

3400 Union Ave
Sheboygan, WI 53081-8426
Phone (920) 828-2240

Other names 1

  • Sara D Blindauer Former name

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 Business Administration

State licenses

LicenseStateTypeSpecialty
1354-39WIMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1386633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1578994000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1914 N 27TH ST",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530812037",
            "telephone_number": "920-980-7086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2926 N 10TH ST",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530834005",
            "telephone_number": "920-803-7716"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3400 Union Ave",
            "address_purpose": "LOCATION",
            "city": "Sheboygan",
            "state": "WI",
            "postal_code": "530818426",
            "country_code": "US",
            "telephone_number": "920-828-2240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOSSER",
        "first_name": "SARA",
        "middle_name": "D",
        "credential": "ATC, LAT, MBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-10",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "WI",
            "license": "1354-39",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "BLINDAUER",
            "middle_name": "D",
            "credential": "ATC, LAT, MBA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sheboygan, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.

Verify at the official NPI Registry.