Active NPI
Jamie Blackim, ATC, LAT
- Athletic Trainer
- Spring Hill, KS
National Provider Identifier
1013507490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 24-00996
- Practice address
- 19701 S Ridgeview Rd
Spring Hill, KS 66083-3067 - Phone
- (918) 638-7807
- NPI assigned
- Jan 20, 2021
- Last updated
- Jun 1, 2026
- 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 24-00996 | KS | Primary |
Addresses
Primary practice location
19701 S Ridgeview Rd
Spring Hill, KS 66083-3067
Mailing address
128 Nelson Cir
Olathe, KS 66061-7608
Phone (918) 638-7807
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 |
|---|---|---|---|
| 24-00996 | KS | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780272000000",
"number": "1013507490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "128 NELSON CIR",
"city": "OLATHE",
"state": "KS",
"postal_code": "660617608",
"telephone_number": "918-638-7807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19701 S RIDGEVIEW RD",
"city": "SPRING HILL",
"state": "KS",
"postal_code": "660833067",
"telephone_number": "918-638-7807"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLACKIM",
"first_name": "JAMIE",
"credential": "ATC, LAT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-01-20",
"last_updated": "2026-06-01",
"certification_date": "2026-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "KS",
"license": "24-00996",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spring Hill, KS
- David Beck
- Nathaniel W Beck, PHARMD
- Erin Michele Bennett, ED.S
- Brooke Berry
- Blackhawk Holdings Operations NT-Hci LLC (Blackhawk Assisted Living)
- Courtney Adele Bloodgood, O.D.
- Jennifer C Bulcock, MD
- Steven Frederick Burmaster, DDS
- Itzel Anahi Carranza
- Colonial Oaks at Spring Hill Property Company LLC (Colonial Oaks at Spring Hill)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.