Timothy W. Nurrenbern, L.A.T., A.,T.C.
Individual provider Active NPI Athletic Trainer · Haubstadt, IN
NPI 1811953771 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1811953771
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- 36000091A (IN)
- Practice address
- RR 2 Box 813
Haubstadt, IN 47639-9533 - Phone
- (812) 868-1047
- NPI assigned
- Apr 20, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36000091A | IN | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 36000091A | IN | Yes |
Addresses
Primary practice location
RR 2 Box 813
Haubstadt, IN 47639-9533
Mailing address
RR 2 Box 813
Haubstadt, IN 47639-9533
Phone (812) 868-1047
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- Lori Ann Kramer
- Ian Nicholas Kyle
- Physicians' Health Group, LLC
- Laci Potts
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All providers in Haubstadt, IN · Athletic Trainer in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.