Carissa Leigh Tigges, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

079429 Issued in IA

Practice address

1201 10TH Ave
Grinnell, IA 50112-1200

Phone

(641) 269-9744

NPI assigned

Dec 15, 2015

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1450137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450137600000",
    "number": "1639534803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 10TH AVE",
            "city": "GRINNELL",
            "state": "IA",
            "postal_code": "501121200",
            "telephone_number": "641-269-9744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 10TH AVE",
            "city": "GRINNELL",
            "state": "IA",
            "postal_code": "501121200",
            "telephone_number": "641-269-9744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIGGES",
        "first_name": "CARISSA",
        "middle_name": "LEIGH",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-15",
        "last_updated": "2015-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IA",
            "license": "079429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Surgical Associates, LLP
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• Anthony Tedesco, DO
• The Grinnell Institute for Bone Health
• The Mental Health Lab, PLLC
• Jessica J Tokle, ARNP
• Total Rehab-Orthopedic and Sports Specialist, P.C.
• Utech Chiropractic Clinic, LLC
• Utech Integrative Health, P.C.
• Kevin L Utech, D.C.

• Athletic Trainer in Grinnell, IA
• Providers in Grinnell, IA by specialty
• Athletic Trainer in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.

Verify at the official NPI Registry.