Active NPI
Donna Ann Kellogg, LPN, LAT, ATC
- Athletic Trainer
- Boalsburg, PA
National Provider Identifier
1063468056
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- RT003776
- Practice address
- 901 Boalsburg Pike
Boalsburg, PA 16827-1139 - Phone
- (814) 574-9354
- NPI assigned
- May 25, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | RT003776 | PA | Primary |
Addresses
Primary practice location
901 Boalsburg Pike
Boalsburg, PA 16827-1139
Mailing address
901 Boalsburg Pike
Boalsburg, PA 16827-1139
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
| License | State | Type | Specialty |
|---|---|---|---|
| RT003776 | PA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598918400000",
"number": "1063468056",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 BOALSBURG PIKE",
"city": "BOALSBURG",
"state": "PA",
"postal_code": "168271139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 BOALSBURG PIKE",
"city": "BOALSBURG",
"state": "PA",
"postal_code": "168271139",
"telephone_number": "814-574-9354"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLOGG",
"first_name": "DONNA",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "LPN, LAT, ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-25",
"last_updated": "2020-09-01",
"certification_date": "2020-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "PA",
"license": "RT003776",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boalsburg, PA
- Harvey P Hanlen, OD
- Melanie A Harding, M.ED
- Matthew Dean Hertert, D.C.
- Hannah Sultan Hills, MA, CCC-SLP
- Holderman O2
- Made to Move Physical Therapy (Made to Move Physical Therapy LLC)
- Maeve Leonia McFeely
- Olive Tree Counseling
- Nicole Pautz
- Positive Performance Physical Therapy LLC (Traci Richardson, DPT)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.