Individual provider Active NPI

Katherine Vanwert, ATC

  • Athletic Trainer
  • Plaistow, NH
National Provider Identifier
1043765464
Registry record updated Oct 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
1333 Issued in NH
Practice address
13 Plaistow Rd
Plaistow, NH 03865-2838
Phone
(603) 382-1559
NPI assigned
Aug 16, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 0126002653 VA
Athletic Trainer 2255A2300X 1333 NH Primary

Addresses

Primary practice location

13 Plaistow Rd
Plaistow, NH 03865-2838

Mailing address

453 Washington Rd
Rye, NH 03870-2459
Phone (603) 205-3404

Other practice location 1

10945 George Mason Cir
Apt #2020
Manassas, VA 20110-2233
Phone (603) 205-3404

Other practice location 2

44 Greenough Rd
Plaistow, NH 03865-2724
Phone (603) 205-3404

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
1333NHMDAthletic Trainer
0126002653VAMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1471305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538438400000",
    "number": "1043765464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "453 WASHINGTON RD",
            "city": "RYE",
            "state": "NH",
            "postal_code": "038702459",
            "telephone_number": "603-205-3404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 PLAISTOW RD",
            "city": "PLAISTOW",
            "state": "NH",
            "postal_code": "038652838",
            "telephone_number": "603-382-1559"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10945 George Mason Cir",
            "address_2": "Apt #2020",
            "address_purpose": "LOCATION",
            "city": "Manassas",
            "state": "VA",
            "postal_code": "201102233",
            "country_code": "US",
            "telephone_number": "603-205-3404",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "44 Greenough Rd",
            "address_purpose": "LOCATION",
            "city": "Plaistow",
            "state": "NH",
            "postal_code": "038652724",
            "country_code": "US",
            "telephone_number": "603-205-3404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANWERT",
        "first_name": "KATHERINE",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-16",
        "last_updated": "2018-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "VA",
            "license": "0126002653",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NH",
            "license": "1333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plaistow, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.

Verify at the official NPI Registry.