Individual provider Active NPI

Marcus Wayne Hurrington, ATC

  • Athletic Trainer
  • Papillion, NE
National Provider Identifier
1952428641
Registry record updated Jul 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
482 Issued in NE
Practice address
402 E Centennial Rd
Papillion, NE 68046-2078
Phone
(402) 898-0400
Fax
(402) 898-0415
NPI assigned
Mar 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 482 NE Primary

Addresses

Primary practice location

402 E Centennial Rd
Papillion, NE 68046-2078

Mailing address

402 E Centennial Rd
Papillion, NE 68046-2078
Phone (402) 898-0400

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

LicenseStateTypeSpecialty
482NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Papillion la Vista Community Schools PastSince Jan 17, 2022 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405382400000",
    "number": "1952428641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 E CENTENNIAL RD",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680462078",
            "telephone_number": "402-898-0400",
            "fax_number": "402-898-0415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 E CENTENNIAL RD",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680462078",
            "telephone_number": "402-898-0400",
            "fax_number": "402-898-0415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURRINGTON",
        "first_name": "MARCUS",
        "middle_name": "WAYNE",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2014-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NE",
            "license": "482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Papillion, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2014; 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.