Christine Marie Pruismann, ATC, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

098179 Issued in IA

Practice address

301 N Ankeny Blvd
Ankeny, IA 50023-1730

Phone

(850) 866-5528

NPI assigned

Oct 21, 2020

Last updated

Nov 23, 2020By the provider in NPPES

Sex

Female

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

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://emrproxy.mcfarlandclinic.com/FHIRProxy/api/FHIR/R4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• McFarland Clinic PC

  • Multi-Specialty Clinic/Center
  • Ames, IA
  • NPI 1639135643
  NPD
• McFarland Clinic, PC

  • Clinical Medical Laboratory
  • Ames, IA
  • NPI 1174602908
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1603238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606089600000",
    "number": "1740889724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 DESTINY DR",
            "city": "BOONE",
            "state": "IA",
            "postal_code": "500361211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N ANKENY BLVD",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500231730",
            "telephone_number": "850-866-5528"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "230 S 6th St",
            "address_purpose": "LOCATION",
            "city": "Nevada",
            "state": "IA",
            "postal_code": "502012521",
            "country_code": "US",
            "telephone_number": "515-382-5471",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRUISMANN",
        "first_name": "CHRISTINE",
        "middle_name": "MARIE",
        "credential": "ATC, LAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-21",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IA",
            "license": "098179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Athletic Trainer in Ankeny, IA
• Providers in Ankeny, IA by specialty
• Athletic Trainer in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2020; 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.