Active NPI
Kelsey Rainie, ATC, LAT
- Sports Medicine (Emergency Medicine) Physician
- Concord, NH
National Provider Identifier
1003305079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Emergency Medicine) Physician
- License
- 1256
- Practice address
- 10 Avon St
Concord, NH 03301-2301 - Phone
- (603) 848-1859
- NPI assigned
- May 5, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Sports Medicine (Emergency Medicine) Physician | 207PS0010X | 1256 | NH | Primary |
Addresses
Primary practice location
10 Avon St
Concord, NH 03301-2301
Mailing address
10 Avon St
Concord, NH 03301-2301
Phone (603) 848-1859
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 |
|---|---|---|---|
| 1256 | NH | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525478400000",
"number": "1003305079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 AVON ST",
"city": "CONCORD",
"state": "NH",
"postal_code": "033012301",
"telephone_number": "603-848-1859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 AVON ST",
"city": "CONCORD",
"state": "NH",
"postal_code": "033012301",
"telephone_number": "603-848-1859"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAINIE",
"first_name": "KELSEY",
"name_prefix": "Miss",
"credential": "ATC, LAT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-05-05",
"last_updated": "2018-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "207PS0010X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Sports Medicine",
"state": "NH",
"license": "1256",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Concord, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.