Individual provider Active NPI

Kathryn Berger, MA, LAT, ATC

  • Athletic Trainer
  • Iowa City, IA
National Provider Identifier
1033714126
Registry record updated Dec 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
001168 Issued in IA
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

Updated by the provider on Dec 4, 2020

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 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

IdentifierTypeStateIssuer
001168OtherIASTATE OF IOWA DEPARTMENT OF PUBLIC HEALTH
2000013252OtherNEBOC CERTIFIED ATHLETIC TRAINER

Other names 1

  • Kathryn Staiert Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
001168IAMDAthletic 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.

Verify at the official NPI Registry.