CAMERON GREENE MS, LAT, ATC
NPI 1821512500
Specialist/Technologist - Athletic Trainer in Green Bay, WI
NPI Status: Active since August 03, 2017
Contact Information
2420 NICOLET DR
GREEN BAY, WI
ZIP 54311
Phone: (920) 465-2452
- Individual
- Male
- Specialist/Technologist
- Athletic Trainer
About CAMERON GREENE
This page provides the complete NPI Profile along with additional information for Cameron Greene, a provider established in Green Bay, Wisconsin with a medical specialization in Specialist/technologist, focusing in athletic trainer . The healthcare provider is registered in the NPI registry with number 1821512500 assigned on August 2017. The practitioner's primary taxonomy code is 2255A2300X with license number 3031-39 (WI). The provider is registered as an individual and his NPI record was last updated July 2025.
- NPI
- 1821512500
- Provider Name
- CAMERON GREENE MS, LAT, ATC
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2420 NICOLET DR GREEN BAY, WI 54311
- Location Phone
- (920) 465-2452
- Mailing Address
- 2215 TRELLIS RIDGE LN APT 1 DE PERE, WI 54115
- Mailing Phone
- (920) 860-6658
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-03-2017
- Last Update Date
- 07-10-2025
- Code Navigator
Location Map
Secondary Locations
- 100 W College St
Granville, OH 43023
(920) 860-6658 - 198 Cemetery Hill Rd.
Franklin, IN 46131
(920) 860-6658
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Specialist/Technologist Athletic Trainer
- Taxonomy Code
- 2255A2300X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License No.
- 3031-39
- License State
- WI
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 2255A2300X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Specialist/Technologist | |
| 2 | 2255A2300X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Specialist/Technologist | AT005992 (OH) |
| 3 | 390200000X | Student, Health Care | Student in an Organized Health Care Education/Training Program |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 8 | 2 | 1 | 5 | 1 | 2 | 5 | 0 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 8 | 4 | 1 | 10 | 1 | 4 | 5 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 8 + 4 + 1 + 1 + 0 + 1 + 4 + 5 + 0 + 24 = 50 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1821512500 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 3 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1861526725 | JEREMY L CLEVEN ATC, LAT Individual | Specialist/Technologist (Athletic Trainer) | 2420 NICOLET DR UW-GREEN BAY GREEN BAY, WI 54311 (920) 465-2138 |
| 1477959997 | JOSHUA BRELLENTHIN MS, ATC, LAT Individual | Specialist/Technologist (Athletic Trainer) | 2420 NICOLET DR GREEN BAY, WI 54311 (262) 203-0194 |
| 1083150957 | SADIE BUBOLTZ-DUBS DAT, LAT, ATC Individual | Specialist/Technologist (Athletic Trainer) | 2420 NICOLET DR GREEN BAY, WI 54311 (920) 377-1544 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1821512500, enumerated in the NPI registry as an "individual" on August 03, 2017
The provider is located at 2420 Nicolet Dr Green Bay, Wi 54311 and the phone number is (920) 465-2452
The provider's speciality is Specialist/Technologist with taxonomy code 2255A2300X with a focus in Athletic Trainer
This NPI record was last updated on August 03, 2017. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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