Active NPI
Abigail M. Klicka, LAT
- Athletic Trainer
- Green Bay, WI
National Provider Identifier
1962787218
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 1158-39
- Practice address
- Bellin Health 1970 S. Ridge Rd
Green Bay, WI 54304 - Phone
- (920) 430-4888
- NPI assigned
- Oct 19, 2011
- 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 | 1158-39 | WI | Primary |
Addresses
Primary practice location
Bellin Health 1970 S. Ridge Rd
Green Bay, WI 54304
Mailing address
515 22ND Ave
Monroe, WI 53566-1569
Other names 1
- Abigail Haldiman
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 |
|---|---|---|---|
| 1158-39 | WI | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754870400000",
"number": "1962787218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 22ND AVE",
"city": "MONROE",
"state": "WI",
"postal_code": "535661569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BELLIN HEALTH 1970 S. RIDGE RD",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "54304",
"telephone_number": "920-430-4888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLICKA",
"first_name": "ABIGAIL",
"middle_name": "M.",
"credential": "LAT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-19",
"last_updated": "2025-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "WI",
"license": "1158-39",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ABIGAIL",
"last_name": "HALDIMAN",
"credential": "LAT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Green Bay, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.