Active NPI
Shane Sigler
- Athletic Trainer
- Clinton, MN
National Provider Identifier
1841648359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 69738 310TH St
Clinton, MN 56225-2058 - Phone
- (320) 305-1460
- NPI assigned
- May 25, 2016
- Last updated
- May 25, 2016
- Sex
- Male
- 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 | MN | Primary |
Addresses
Primary practice location
69738 310TH St
Clinton, MN 56225-2058
Mailing address
69738 310TH St
Clinton, MN 56225-2058
Phone (320) 305-1460
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2000023848 | Other | MN | BOARD OF CERTIFICATION |
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": "1464134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464134400000",
"number": "1841648359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "69738 310TH ST",
"city": "CLINTON",
"state": "MN",
"postal_code": "562252058",
"telephone_number": "320-305-1460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "69738 310TH ST",
"city": "CLINTON",
"state": "MN",
"postal_code": "562252058",
"telephone_number": "320-305-1460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIGLER",
"first_name": "SHANE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-05-25",
"last_updated": "2016-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MN",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF CERTIFICATION",
"identifier": "2000023848",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Clinton, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 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.