Active NPI
Stephen Herrmann, ATC
- Athletic Trainer
- Parkersburg, IA
National Provider Identifier
1700076759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 00590
- Practice address
- 610 N Johnson St
Parkersburg, IA 50665-2039 - Phone
- (319) 346-1571
- NPI assigned
- Jul 26, 2007
- Last updated
- Jul 26, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 00590 | IA | Primary |
Addresses
Primary practice location
610 N Johnson St
Parkersburg, IA 50665-2039
Mailing address
610 N Johnson St
Parkersburg, IA 50665-2039
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 |
|---|---|---|---|
| 00590 | IA | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185408000000",
"number": "1700076759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "610 N JOHNSON ST",
"city": "PARKERSBURG",
"state": "IA",
"postal_code": "506652039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 N JOHNSON ST",
"city": "PARKERSBURG",
"state": "IA",
"postal_code": "506652039",
"telephone_number": "319-346-1571"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERRMANN",
"first_name": "STEPHEN",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-07-26",
"last_updated": "2007-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "IA",
"license": "00590",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Parkersburg, IA
- William E Durbin, MD
- Julie Elizabeth Eddy, PT
- Montica Maxine Foxen, ARNP
- Martha A Hall, ARNP
- Health Watch, Inc. (Cedar Valley Medical Monitoring)
- Tom Bert Hoogestraat, D.C.
- Iowa Physicians Clinic Medical Foundation (Aplington-Parkersburg Family Practice)
- Just This Moment Mindful Psychotherapy PLLC (Just This Moment Mindful Psychotherapy)
- Elizabeth Ann Kehret, MA, IBCLC, CLD
- John Paul Lilienthal
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.