Samantha Tienken, MA, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2014030410 Issued in MO

Practice address

600 S College Ave
125 Morrow
Warrensburg, MO 64093-2626

Phone

(660) 543-8868

NPI assigned

Mar 26, 2015

Reactivated

Jul 18, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1427328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531872000000",
    "number": "1992199053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 S COLLEGE AVE",
            "address_2": "125 MORROW",
            "city": "WARRENSBURG",
            "state": "MO",
            "postal_code": "640932626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S COLLEGE AVE",
            "address_2": "125 MORROW",
            "city": "WARRENSBURG",
            "state": "MO",
            "postal_code": "640932626",
            "telephone_number": "660-543-8868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIENKEN",
        "first_name": "SAMANTHA",
        "credential": "MA, ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-26",
        "last_updated": "2018-07-18",
        "deactivation_date": "2018-01-25",
        "reactivation_date": "2018-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MO",
            "license": "2014030410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The L.O.E. Company
• Sridhar Thirumalai, M.D.
• Christina Thomas, LPC
• Emma G Thomas, CPM
• Robert Thompson
• Jessica Tolias, M.S. CCC-SLP
• Nicole Townsend, LPN
• Jaclyn R Turnbow, DDS
• William Andrew Turnbow, D.D.S
• Gary Turner, PHARMACIST

• Athletic Trainer in Warrensburg, MO
• Providers in Warrensburg, MO by specialty
• Athletic Trainer in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2018; 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.