Madison Siebenaler

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

32 Campus Dr
Missoula, MT 59812-0003

Phone

(406) 243-2703

NPI assigned

Jul 1, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1561939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561939200000",
    "number": "1922660745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2636 SENECA TRL",
            "city": "VICTOR",
            "state": "MT",
            "postal_code": "598759518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 CAMPUS DR",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598120003",
            "telephone_number": "406-243-2703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEBENALER",
        "first_name": "MADISON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-01",
        "last_updated": "2019-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RESPIRATORY, REHABILITATIVE & RESTORATIVE SERVICE PROVIDERS",
            "identifier": "22",
            "state": "MT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "UMConnect",
            "affiliation": "N",
            "endpointDescription": "Graduate Studies Communication Portal",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "n/a",
            "address_1": "32 Campus Dr",
            "city": "Missoula",
            "state": "MT",
            "country_code": "US",
            "postal_code": "598120003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Matthew Lee Shryock, FNP
• Mary Shull, OPTICIAN
• Gabrielle Shulman, LCPC
• Heather Shultz
• Joseph C Shurtz, D.O.
• Nancy J. Siegel, MS PT, RCST
• Gerald Henry Siemens, MD
• Chris Siller, COMS
• Matthew G Silva, D.O.
• Sue Ellen Silverberg, LCPC

• Athletic Trainer in Missoula, MT
• Providers in Missoula, MT by specialty
• Athletic Trainer in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2019; 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.