TANNER PATRICK KRUMWIEDE MS LAT ATC NPI 1063156180

NPI Information

  • NPI: 1063156180
  • Provider Name: TANNER PATRICK KRUMWIEDE, MS, LAT, ATC
  • Classification: Specialist/Technologist - 2255A2300X
  • Specialization: Athletic Trainer
  • Entity Type: Individual
  • Address: 800 N STATE
    JERSEYVILLE, IL
    ZIP 62052
  • Phone: (618) 498-5521

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NPI Details

Tanner Patrick Krumwiede, MS, LAT, ATC is an athletic trainer specialist technologist in Jerseyville, IL. The provider is athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. Tanner Patrick Krumwiede, MS, LAT, ATC NPI is 1063156180. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

800 N STATE
JERSEYVILLE, IL
ZIP 62052-205
Phone: (618) 498-5521

The enumeration date for this NPI number is 4/25/2022 and was last updated on 4/25/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12255A2300XSpecialist/TechnologistAthletic Trainer096004524ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1096004524OTHERILLINOISSTATE OF ILLINOIS
22000027086OTHERNATIONAL BOARD OF CERTIFICATION

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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