Imani Krystine Conner, ACT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

3400 S Figueroa St
Los Angeles, CA 90089-0002

Phone

(213) 740-0626

NPI assigned

Oct 26, 2021

Last updated

Aug 29, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1635206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1063176063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 SUNSET DOWN CT",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300527925",
            "telephone_number": "678-886-4386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 S FIGUEROA ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900890002",
            "telephone_number": "213-740-0626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNER",
        "first_name": "IMANI",
        "middle_name": "KRYSTINE",
        "credential": "ACT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-26",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Kristin Connelly, RN, MSN, CPNP-AC
• Caroline Connelly
• Dyan Elizabeth Connelly, PHD
• Avondre Devin Conner
• Charisse Conner
• Mackenzie Ann Conner
• Maritza Conner, M.A.
• Tyra Jolene Conner
• Michael Alexander Connerney, MD
• Andrea Conners, RDA

• Athletic Trainer in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Athletic Trainer in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; 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.