Active NPI
Austyn Nealer
- Athletic Trainer
- Madison, WI
National Provider Identifier
1942750625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 1841-39
- Practice address
- 1440 Monroe St
Madison, WI 53711-2051 - Phone
- (608) 224-9007
- NPI assigned
- Oct 6, 2016
- Sex
- Female
- Sole proprietor
- No
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 | 1841-39 | WI | Primary |
Addresses
Primary practice location
1440 Monroe St
Madison, WI 53711-2051
Mailing address
301 Harbour Town Dr
#318
Madison, WI 53717-2110
Phone (720) 412-2660
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841-39 | Other | WI | PROFESSIONAL LICENSE/CREDENTIAL FOR ATHLETIC TRAINING |
| 2000014527 | Other | BOARD OF CERTIFICATION FOR THE ATHLETIC TRAINER |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1841-39 | WI | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475712000000",
"number": "1942750625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 HARBOUR TOWN DR",
"address_2": "#318",
"city": "MADISON",
"state": "WI",
"postal_code": "537172110",
"telephone_number": "720-412-2660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1440 MONROE ST",
"city": "MADISON",
"state": "WI",
"postal_code": "537112051",
"telephone_number": "608-224-9007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEALER",
"first_name": "AUSTYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-06",
"last_updated": "2016-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "WI",
"license": "1841-39",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROFESSIONAL LICENSE/CREDENTIAL FOR ATHLETIC TRAINING",
"identifier": "1841-39",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF CERTIFICATION FOR THE ATHLETIC TRAINER",
"identifier": "2000014527",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.