Individual provider Active NPI

Craig Zurliene, MHA, ATC

  • Athletic Trainer
  • Saint Louis, MO
National Provider Identifier
1982024345
Registry record updated Apr 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
2014000963 Issued in MO
Practice address
1 College Park Dr
Saint Louis, MO 63141-8660
Phone
(314) 392-2399
NPI assigned
Apr 23, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 2014000963 MO Primary
Athletic Trainer 2255A2300X 096003682 IL

Addresses

Primary practice location

1 College Park Dr
Saint Louis, MO 63141-8660

Mailing address

1 College Park Dr
Saint Louis, MO 63141-8660
Phone (314) 392-2399

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
096003682ILMDAthletic Trainer
2014000963MOMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1398211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398211200000",
    "number": "1982024345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 COLLEGE PARK DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418660",
            "telephone_number": "314-392-2399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 COLLEGE PARK DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418660",
            "telephone_number": "314-392-2399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZURLIENE",
        "first_name": "CRAIG",
        "name_prefix": "Mr.",
        "credential": "MHA, ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-23",
        "last_updated": "2014-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MO",
            "license": "2014000963",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IL",
            "license": "096003682",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.