Kieran Paul Loving, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

0126001259 Issued in VA

Practice address

12731 Marblestone Dr
Woodbridge, VA 22192-8333

Phone

(571) 659-2612

NPI assigned

Apr 28, 2021

Last updated

Apr 28, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1619568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619568000000",
    "number": "1043892078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11992 MOLLY PITCHER CIR",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201094800",
            "telephone_number": "703-505-0643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12731 MARBLESTONE DR",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221928333",
            "telephone_number": "571-659-2612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVING",
        "first_name": "KIERAN",
        "middle_name": "PAUL",
        "name_prefix": "Mr.",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-28",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "AT8506",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "VA",
            "license": "0126001259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ek Seng Lou, MD
• Loudoun Medical Group, PC (Comprehensive Sleep Care Center)
• Maher Loutfi, M.D
• Kadara Love
• Loving Care Nemt LLC
• Bren Desmond Lowery, QMHP
• Wylie D. Lowery Jr., M.D.
• Loyal Medical Transportation LLC
• Elaine Marie Lozano, MS, RD
• Rebecca Lubin

• Athletic Trainer in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Athletic Trainer in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2021; 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.