Individual provider Active NPI

Kaeleen Zeleznak, MAT, LAT, ATC

  • Athletic Trainer
  • San Antonio, TX
National Provider Identifier
1699413294
Registry record updated May 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
Practice address
14350 Culebra Rd
San Antonio, TX 78253-2222
Phone
(210) 398-2200
NPI assigned
May 24, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X Primary

Addresses

Primary practice location

14350 Culebra Rd
San Antonio, TX 78253-2222

Mailing address

12130 Alamo Ranch Pkwy Apt 3731
San Antonio, TX 78253-4018
Phone (210) 412-1114

Other identifiers 2

IdentifierTypeStateIssuer
AT8290OtherTXTEXAS DEPARTMENT OF LICENSING AND REGULATION
2000038820OtherBOARD OF CERTIFICATION FOR THE ATHLETIC TRAINER

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kaeleen.zeleznak@nisd.net Direct

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": "1653350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653350400000",
    "number": "1699413294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12130 ALAMO RANCH PKWY APT 3731",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782534018",
            "telephone_number": "210-412-1114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14350 CULEBRA RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782532222",
            "telephone_number": "210-398-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZELEZNAK",
        "first_name": "KAELEEN",
        "credential": "MAT, LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-24",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS DEPARTMENT OF LICENSING AND REGULATION",
            "identifier": "AT8290",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF CERTIFICATION FOR THE ATHLETIC TRAINER",
            "identifier": "2000038820",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kaeleen.zeleznak@nisd.net",
            "affiliation": "N",
            "endpointDescription": "secure messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "useOtherDescription": "patient tracking",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "EHR",
            "address_1": "14350 Culebra Rd",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782532222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.

Verify at the official NPI Registry.