Individual provider Active NPI

Karin Krzal, A.T.C., L.A.T.

  • Athletic Trainer
  • Farmington, ME
National Provider Identifier
1013348275
Registry record updated Dec 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
AT322 Issued in ME
Practice address
163 High St
Farmington, ME 04938-1942
Phone
(207) 778-7064
Fax
(207) 778-8177
NPI assigned
Dec 12, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X AT322 ME Primary

Addresses

Primary practice location

163 High St
Farmington, ME 04938-1942

Mailing address

111 South St
Farmington, ME 04938-6823
Phone (207) 778-7064

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
AT322MEMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1386806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386806400000",
    "number": "1013348275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 SOUTH ST",
            "city": "FARMINGTON",
            "state": "ME",
            "postal_code": "049386823",
            "telephone_number": "207-778-7064",
            "fax_number": "207-778-8177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 HIGH ST",
            "city": "FARMINGTON",
            "state": "ME",
            "postal_code": "049381942",
            "telephone_number": "207-778-7064",
            "fax_number": "207-778-8177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRZAL",
        "first_name": "KARIN",
        "credential": "A.T.C., L.A.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-12",
        "last_updated": "2013-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "ME",
            "license": "AT322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2013; 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.