Active NPI
Suzette Nynas, EDD, ATC
- Athletic Trainer
- Billings, MT
National Provider Identifier
1811366909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 0027
- Practice address
- 1500 University Dr
Billings, MT 59101-0245 - Phone
- (406) 657-2351
- Fax
- (406) 657-2399
- NPI assigned
- Sep 18, 2015
- Sex
- Female
- 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 | 0027 | MT | Primary |
Addresses
Primary practice location
1500 University Dr
Billings, MT 59101-0245
Mailing address
1500 University Dr
Billings, MT 59101-0245
Phone (406) 657-2351
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 |
|---|---|---|---|
| 0027 | MT | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montana State University - Billings | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Local Education Agency (LEA)
- Billings, MT
- NPI 1679767057
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442534400000",
"number": "1811366909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 UNIVERSITY DR",
"city": "BILLINGS",
"state": "MT",
"postal_code": "591010245",
"telephone_number": "406-657-2351",
"fax_number": "406-657-2399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 UNIVERSITY DR",
"city": "BILLINGS",
"state": "MT",
"postal_code": "591010245",
"telephone_number": "406-657-2351",
"fax_number": "406-657-2399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NYNAS",
"first_name": "SUZETTE",
"credential": "EDD, ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-09-18",
"last_updated": "2015-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MT",
"license": "0027",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Billings, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.