Active NPI
Mara Riedel
- Athletic Trainer
- Madison, SD
National Provider Identifier
1801252242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 0448
- Practice address
- 800 NE 9TH St
Madison, SD 57042-1104 - Phone
- (605) 270-1752
- NPI assigned
- Jan 14, 2016
- Last updated
- Jan 14, 2016
- Sex
- Female
- Sole proprietor
- No
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 | 0448 | SD | Primary |
Addresses
Primary practice location
800 NE 9TH St
Madison, SD 57042-1104
Mailing address
South Dakota State University
Admin (Sad) 100 Box:2201
Brookings, SD 57007
Phone (605) 270-1752
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452729600000",
"number": "1801252242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "SOUTH DAKOTA STATE UNIVERSITY",
"address_2": "ADMIN (SAD) 100 BOX:2201",
"city": "BROOKINGS",
"state": "SD",
"postal_code": "57007",
"telephone_number": "605-270-1752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 NE 9TH ST",
"city": "MADISON",
"state": "SD",
"postal_code": "570421104",
"telephone_number": "605-270-1752"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIEDEL",
"first_name": "MARA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-14",
"last_updated": "2016-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "SD",
"license": "0448",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madison, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.