Susan P Wehring, EDD, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2011039554 Issued in MO

Practice address

816 College Chase Dr
Ruskin, FL 33570-5339

Phone

(813) 836-4056

NPI assigned

Jun 11, 2014

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

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

{
    "created_epoch": "1402444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558137600000",
    "number": "1750794368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 COLLEGE CHASE DR",
            "city": "RUSKIN",
            "state": "FL",
            "postal_code": "335705339",
            "telephone_number": "813-836-4056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 COLLEGE CHASE DR",
            "city": "RUSKIN",
            "state": "FL",
            "postal_code": "335705339",
            "telephone_number": "813-836-4056"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 Old 63 S",
            "address_2": "Apt 103",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MO",
            "postal_code": "652016062",
            "country_code": "US",
            "telephone_number": "573-979-5111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEHRING",
        "first_name": "SUSAN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "EDD, LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-11",
        "last_updated": "2019-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MO",
            "license": "2011039554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Athletic Trainer in Ruskin, FL
• Providers in Ruskin, FL by specialty
• Athletic Trainer in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2019; 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.