Active NPI
Amanda M Kluver, MS, ATC
- Athletic Trainer
- Bennington, NE
National Provider Identifier
1669909792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 842
- Practice address
- 15810 Young Cir
Bennington, NE 68007-1400 - Phone
- (712) 263-7945
- NPI assigned
- May 19, 2017
- Sex
- Female
- Sole proprietor
- No
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 | 842 | NE | Primary |
Addresses
Primary practice location
15810 Young Cir
Bennington, NE 68007-1400
Mailing address
15810 Young Cir
Bennington, NE 68007-1400
Other names 1
- Amanda M Goslar
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 842 | NE | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1495152000000",
"number": "1669909792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15810 YOUNG CIR",
"city": "BENNINGTON",
"state": "NE",
"postal_code": "680071400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15810 YOUNG CIR",
"city": "BENNINGTON",
"state": "NE",
"postal_code": "680071400",
"telephone_number": "712-263-7945"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLUVER",
"first_name": "AMANDA",
"middle_name": "M",
"credential": "MS, ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-19",
"last_updated": "2017-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NE",
"license": "842",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMANDA",
"last_name": "GOSLAR",
"middle_name": "M",
"credential": "MS, ATC",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Bennington, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.