Active NPI
Steven D Risinger, ATC LAT
- Athletic Trainer
- Anderson, IN
National Provider Identifier
1760543995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 36000001A
- Practice address
- 1526 University Blvd
Anderson, IN 46012-3111 - Phone
- (765) 641-4491
- Fax
- (765) 641-3841
- NPI assigned
- Dec 12, 2006
- 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 | 36000001A | IN | Primary |
Addresses
Primary practice location
1526 University Blvd
Anderson, IN 46012-3111
Mailing address
3416 White River CT.
Anderson, IN 46012
Phone (765) 621-9963
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22 | Other | IN | 2255A2300X ATHLETIC TRAIN |
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 |
|---|---|---|---|
| 36000001A | IN | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1760543995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3416 WHITE RIVER CT.",
"city": "ANDERSON",
"state": "IN",
"postal_code": "46012",
"telephone_number": "765-621-9963",
"fax_number": "765-641-3841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1526 UNIVERSITY BLVD",
"city": "ANDERSON",
"state": "IN",
"postal_code": "460123111",
"telephone_number": "765-641-4491",
"fax_number": "765-641-3841"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RISINGER",
"first_name": "STEVEN",
"middle_name": "D",
"name_prefix": "Mr.",
"credential": "ATC LAT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "IN",
"license": "36000001A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "2255A2300X ATHLETIC TRAIN",
"identifier": "22",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Anderson, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.