Samantha Genno, MS, ATC, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2275 Issued in TN

Practice address

2505 N Oakland Ave
Milwaukee, WI 53211-3931

Phone

(800) 781-2320

NPI assigned

Apr 19, 2016

Last updated

Feb 10, 2021By 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

Other identifiers 1

Other names 1

• Samantha Hilliard Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1461024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612915200000",
    "number": "1881048668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 N OAKLAND AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532113931",
            "telephone_number": "800-781-2320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 N OAKLAND AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532113931",
            "telephone_number": "800-781-2320"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4225 University Ave",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "GA",
            "postal_code": "319075679",
            "country_code": "US",
            "telephone_number": "706-565-4332",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2648 Wayside Rd",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "TN",
            "postal_code": "373553824",
            "country_code": "US",
            "telephone_number": "606-302-1098",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6965 Cumberland Gap Pkwy",
            "address_purpose": "LOCATION",
            "city": "Harrogate",
            "state": "TN",
            "postal_code": "377528231",
            "country_code": "US",
            "telephone_number": "423-869-6846",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GENNO",
        "first_name": "SAMANTHA",
        "credential": "MS, ATC, LAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-19",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "GA",
            "license": "AT002825",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TN",
            "license": "2275",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOC",
            "identifier": "2000020078",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "HILLIARD",
            "credential": "MS, LAT, ATC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Athletic Trainer in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Athletic Trainer in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2021; 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.