Active NPI
Allie Neu, ATC, LAT
- Athletic Trainer
- Waite Park, MN
National Provider Identifier
1689383200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 2740
- Practice address
- 901 3Rd St N
Waite Park, MN 56387-1964 - Phone
- (320) 217-8480
- NPI assigned
- Nov 22, 2022
- 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 | 2740 | MN | Primary |
Addresses
Primary practice location
901 3Rd St N
Waite Park, MN 56387-1964
Mailing address
15851 41St St
Becker, MN 55308-8523
Phone (320) 290-7121
Other names 1
- Allie Hemmer
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | allien@rejuvmedical.com | Direct | Rejuv Medical P.A. |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2740 | MN | MD | Home Health Aide |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rejuv Medical, P.a. | Current | Accepting new patients |
Locations
901 3rd St N
Waite Park, MN 56387
Phone (320) 217-8480
Interoperability endpoints
- https://api.platform.athenahealth.com/32275/brand/1/csg/1/fhir/r4
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Medical Specialty Clinic/Center
- Waite Park, MN
- NPI 1033355086
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669075200000",
"number": "1689383200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15851 41ST ST",
"city": "BECKER",
"state": "MN",
"postal_code": "553088523",
"telephone_number": "320-290-7121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 3RD ST N",
"city": "WAITE PARK",
"state": "MN",
"postal_code": "563871964",
"telephone_number": "320-217-8480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEU",
"first_name": "ALLIE",
"credential": "ATC, LAT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-22",
"last_updated": "2022-11-22",
"certification_date": "2022-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MN",
"license": "2740",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "allien@rejuvmedical.com",
"affiliation": "Y",
"endpointDescription": "email",
"affiliationName": "Rejuv Medical P.A.",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "email",
"address_1": "901 3rd St N",
"city": "Waite Park",
"state": "MN",
"country_code": "US",
"postal_code": "563871964",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "ALLIE",
"last_name": "HEMMER",
"credential": "ATC, LAT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Waite Park, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.