John Jacob Statz

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT.0001107 Issued in CO

Practice address

Northern Colorado Athletics
270D Butler-Hancock Athletics Center
Greeley, CO 80639-0001

Phone

(970) 351-1723

Fax

(970) 351-4898

NPI assigned

May 1, 2014

Last updated

May 1, 2014By the provider in NPPES

Sex

Male

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": "1398902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398902400000",
    "number": "1699185496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "NORTHERN COLORADO ATHLETICS",
            "address_2": "270D BUTLER-HANCOCK ATHLETICS CENTER",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806390001",
            "telephone_number": "970-351-1723",
            "fax_number": "970-351-4898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NORTHERN COLORADO ATHLETICS",
            "address_2": "270D BUTLER-HANCOCK ATHLETICS CENTER",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806390001",
            "telephone_number": "970-351-1723",
            "fax_number": "970-351-4898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STATZ",
        "first_name": "JOHN",
        "middle_name": "JACOB",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-01",
        "last_updated": "2014-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CO",
            "license": "AT.0001107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Stang, M.S.
• Jamie L Staples, LPC, LAC
• Rebecca Lynn Starke
• Vicki Starr
• Abigail Staskiewicz, PHARMD
• Kimberly Staunton, RN, BSN
• Marcia Schulte Stauter, O.D.
• Paige Stavely
• Georgia Elizabeth Stavropoulos
• Joy Stebbins

• Athletic Trainer in Greeley, CO
• Providers in Greeley, CO by specialty
• Athletic Trainer in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2014; 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.