Active NPI
Tyler G Vrba, MSE, ATC
- Athletic Trainer
- Lincoln, NE
National Provider Identifier
1659092104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 706
- Practice address
- 5905 O St
Lincoln, NE 68510-2235 - Phone
- (402) 436-1000
- NPI assigned
- Sep 2, 2022
- Sex
- Male
- 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 | 706 | NE | Primary |
Addresses
Primary practice location
5905 O St
Lincoln, NE 68510-2235
Mailing address
PO Box 376
Ceresco, NE 68017-0376
Phone (402) 276-4302
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 706 | Other | NE | ATHELTIC TRAINER LICENSE NUMBER |
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": "1662076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662076800000",
"number": "1659092104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 376",
"city": "CERESCO",
"state": "NE",
"postal_code": "680170376",
"telephone_number": "402-276-4302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5905 O ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685102235",
"telephone_number": "402-436-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VRBA",
"first_name": "TYLER",
"middle_name": "G",
"credential": "MSE, ATC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-09-02",
"last_updated": "2022-09-02",
"certification_date": "2022-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NE",
"license": "706",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ATHELTIC TRAINER LICENSE NUMBER",
"identifier": "706",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.