Active NPI
Kathryn Berger, MA, LAT, ATC
- Athletic Trainer
- Iowa City, IA
National Provider Identifier
1033714126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 001168
- Practice address
- 1 Elliot Dr. Carver Hawkeye Arena
Athletic Training S181
Iowa City, IA 52242 - Phone
- (319) 335-9396
- NPI assigned
- Dec 4, 2020
- Sex
- Female
- Sole proprietor
- No
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 | 001168 | IA | Primary |
Addresses
Primary practice location
1 Elliot Dr. Carver Hawkeye Arena
Athletic Training S181
Iowa City, IA 52242
Mailing address
1 Elliot Dr. Carver Hawkeye Arena
Athletic Training S181
Iowa City, IA 52242
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001168 | Other | IA | STATE OF IOWA DEPARTMENT OF PUBLIC HEALTH |
| 2000013252 | Other | NE | BOC CERTIFIED ATHLETIC TRAINER |
Other names 1
- Kathryn Staiert
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kathryn-staiert@uiowa.edu | Direct |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001168 | IA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607040000000",
"number": "1033714126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 ELLIOT DR. CARVER HAWKEYE ARENA",
"address_2": "ATHLETIC TRAINING S181",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "52242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 ELLIOT DR. CARVER HAWKEYE ARENA",
"address_2": "ATHLETIC TRAINING S181",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "52242",
"telephone_number": "319-335-9396"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERGER",
"first_name": "KATHRYN",
"credential": "MA, LAT, ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-04",
"last_updated": "2020-12-04",
"certification_date": "2020-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "IA",
"license": "001168",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF IOWA DEPARTMENT OF PUBLIC HEALTH",
"identifier": "001168",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOC CERTIFIED ATHLETIC TRAINER",
"identifier": "2000013252",
"state": "NE"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kathryn-staiert@uiowa.edu",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1 Elliot Dr. Carver Hawkeye Arena",
"address_2": "Athletic Training S181",
"city": "Iowa City",
"state": "IA",
"country_code": "US",
"postal_code": "52242",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "KATHRYN",
"last_name": "STAIERT",
"credential": "MA, LAT, ATC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Iowa City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.