Individual provider Active NPI

Ann Schmerbauch, A.T.C., L.A.T.

  • Athletic Trainer
  • Saint Louis, MO
National Provider Identifier
1629482815
Registry record updated Jun 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
2011034670 Issued in MO
Practice address
6800 Wydown Blvd
Saint Louis, MO 63105-3043
Phone
(314) 889-1456
Fax
(314) 889-4507
NPI assigned
Jun 16, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2014

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 2011034670 MO Primary

Addresses

Primary practice location

6800 Wydown Blvd
Saint Louis, MO 63105-3043

Mailing address

6800 Wydown Blvd
Saint Louis, MO 63105-3043
Phone (314) 889-1456

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

LicenseStateTypeSpecialty
2011034670MOMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1402876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402876800000",
    "number": "1629482815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 WYDOWN BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631053043",
            "telephone_number": "314-889-1456",
            "fax_number": "314-889-4507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 WYDOWN BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631053043",
            "telephone_number": "314-889-1456",
            "fax_number": "314-889-4507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMERBAUCH",
        "first_name": "ANN",
        "credential": "A.T.C., L.A.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-16",
        "last_updated": "2014-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MO",
            "license": "2011034670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2014; 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.