Chelsea Marie Wanczyk, MS, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

0546 Issued in SD

Practice address

216 Anamaria Dr
Rapid City, SD 57701-7366

Phone

(605) 721-4700

NPI assigned

Jul 5, 2018

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

Other names 1

• Chelsea Marie Essenmacher Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1530748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530748800000",
    "number": "1659867372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 NORAD DR",
            "city": "BOX ELDER",
            "state": "SD",
            "postal_code": "577198114",
            "telephone_number": "605-858-5645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 ANAMARIA DR",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577017366",
            "telephone_number": "605-721-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANCZYK",
        "first_name": "CHELSEA",
        "middle_name": "MARIE",
        "credential": "MS, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-05",
        "last_updated": "2018-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "SD",
            "license": "0546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHELSEA",
            "last_name": "ESSENMACHER",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Walmart Inc. (WalMart Pharmacy 10-3872)
• Walmart Inc. (Walmart Vision Center 30-1604)
• Scott Walther, HIS
• Crystal L Walton, PA C CNP
• Rachel Walton
• Lynsey Ward, LPC, MA, NCC
• Meghann Warnke, CNP
• Todd Alan Warren, PHARM.D.
• Stephen Edward Wasemiller, M.D.
• Amanda Michelle Wassenaar, MLS

• Athletic Trainer in Rapid City, SD
• Providers in Rapid City, SD by specialty
• Athletic Trainer in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2018; 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.