Kira Leann Olds, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

A001136 Issued in MD

Practice address

11001 Owings Mills Blvd
Owings Mills, MD 21117-2857

Phone

(443) 352-4263

NPI assigned

Sep 15, 2008

Sex

Female

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": "1221436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631750400000",
    "number": "1053560037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 UNIVERSITY CIRCLE",
            "address_2": "WESTERN ILLINOIS UNIVERSITY - ATHLETIC TRAINING",
            "city": "MACOMB",
            "state": "IL",
            "postal_code": "614551405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11001 OWINGS MILLS BLVD",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211172857",
            "telephone_number": "443-352-4263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLDS",
        "first_name": "KIRA",
        "middle_name": "LEANN",
        "name_prefix": "Dr.",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-15",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IL",
            "license": "096.002492",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MD",
            "license": "A001136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Olabisi
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• Grace Olaleye, RN
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• Daniel Solomon Oliver, DPT
• Valderas Barksdale Oliver, LCPC
• Inna Olshansky, OTR
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• Omega Access Services LLC

• Athletic Trainer in Owings Mills, MD
• Providers in Owings Mills, MD by specialty
• Athletic Trainer in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.