Jason Michael Uhlenhake, MS, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

00331 Issued in IA

Practice address

6151 Thornton Ave Ste 200
Des Moines, IA 50321-2413

Phone

(515) 421-4090

NPI assigned

Jun 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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521417600000",
    "number": "1780888297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 W SALEM AVE",
            "city": "INDIANOLA",
            "state": "IA",
            "postal_code": "501252341",
            "telephone_number": "319-321-5863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6151 THORNTON AVE STE 200",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503212413",
            "telephone_number": "515-421-4090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UHLENHAKE",
        "first_name": "JASON",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "MS, LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-11",
        "last_updated": "2018-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IA",
            "license": "00331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• J. Michael Tysklind, M.S.,CCC-AUDIOLOGIST
• Anna Christine Tystahl
• Darla Ueding, RN
• Amanda Katherine Ueltschy-Badillo, PHARMD
• Susanne Ruth Uhl
• Dustin J Uhlenhopp, DO
• Ujima Community Services
• Onyebuchi Ukabiala, M.D.
• Ukena Counseling Services
• Rachel Nicole Ukena, LMSW

• Athletic Trainer in Des Moines, IA
• Providers in Des Moines, IA by specialty
• Athletic Trainer in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2018; 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.