Dustin Hartzer, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT 376 Issued in AR

Practice address

Stadium Boulevard
Sports Medicine Football Stadium at Arkansas State Univ
Jonesboro, AR 72467-0480

Phone

(870) 972-3342

NPI assigned

Jan 11, 2007

Sex

Male

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": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780734715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4311 STONEBROOK DR",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724049393",
            "telephone_number": "308-340-1463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "STADIUM BOULEVARD",
            "address_2": "SPORTS MEDICINE FOOTBALL STADIUM AT ARKANSAS STATE UNIV",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724670480",
            "telephone_number": "870-972-3342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTZER",
        "first_name": "DUSTIN",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "AR",
            "license": "AT 376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan J Hart, MCD,CCC-SLP
• Betty L Hartsfield, LPN
• Erin Hartshorn
• Mary Elizabeth Hartwig, PH. D., APN
• Sarah Beth Hartwig, MS, RDN, LD
• Harvest Hearing Care
• Dewayne Harvey
• Hannah Harvey, MHPP
• Jimmie Harvey, MHPP
• Kyle Harvey, MHPP

• Athletic Trainer in Jonesboro, AR
• Providers in Jonesboro, AR by specialty
• Athletic Trainer in Arkansas

• 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.

Verify at the official NPI Registry.