Individual provider Active NPI

Angela Ziolkowski, ATC, LAT

  • Athletic Trainer
  • Indianapolis, IN
National Provider Identifier
1831515576
Registry record updated Mar 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
36002072A Issued in IN
Practice address
6926 Wesley CT
Indianapolis, IN 46220-1130
Phone
(574) 303-2905
NPI assigned
Mar 5, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 36002072A IN Primary

Addresses

Primary practice location

6926 Wesley CT
Indianapolis, IN 46220-1130

Mailing address

441 Preston Dr
South Bend, IN 46615-3347
Phone (574) 303-2905

Other identifiers 1

IdentifierTypeStateIssuer
2000010189OtherBOC

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

LicenseStateTypeSpecialty
36002072AINMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1393977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393977600000",
    "number": "1831515576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 PRESTON DR",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466153347",
            "telephone_number": "574-303-2905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6926 WESLEY CT",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462201130",
            "telephone_number": "574-303-2905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIOLKOWSKI",
        "first_name": "ANGELA",
        "credential": "ATC, LAT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-05",
        "last_updated": "2014-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IN",
            "license": "36002072A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOC",
            "identifier": "2000010189",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2014; 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.