Sara Bader, ATC, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

700 Geneva Pkwy N
Lake Geneva, WI 53147-4594

Phone

(719) 480-0660

NPI assigned

Aug 18, 2014

Last updated

Mar 30, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Interoperability endpoints

• Direct secure messaging: sara.bader@aah.org

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

{
    "created_epoch": "1408320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585526400000",
    "number": "1841699600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N1485 CHICAGO DRIVE",
            "city": "GENOA CITY",
            "state": "WI",
            "postal_code": "53128",
            "telephone_number": "719-480-0660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 GENEVA PKWY N",
            "city": "LAKE GENEVA",
            "state": "WI",
            "postal_code": "531474594",
            "telephone_number": "719-480-0660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADER",
        "first_name": "SARA",
        "credential": "ATC, LAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-18",
        "last_updated": "2020-03-30",
        "certification_date": "2020-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "WI",
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Sara.bader@aah.org",
            "affiliation": "N",
            "address_1": "700 Geneva Pkwy N",
            "city": "Lake Geneva",
            "state": "WI",
            "country_code": "US",
            "postal_code": "531474594",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Aurora Medical Group Inc (Aurora Medical Group Lake Geneva)
• Aurora Medical Group, Inc.
• Aurora Pharmacy Inc (Aurora Pharmacy)
• Austin Frank Bacchus, M.D.
• Katrina Badeau, LMFT
• John Ellsworth Baldwin, RPH
• Balistreri & Associates Physical Therapy
• Suzanne Balistreri-Roden, P.T.
• Anshul B. Bamrolia, MD
• Matthew Banas

• Athletic Trainer in Lake Geneva, WI
• Providers in Lake Geneva, WI by specialty
• Athletic Trainer in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2020; 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.