Individual provider Active NPI

Katherine Sniffen, ATC

  • Athletic Trainer
  • Malibu, CA
National Provider Identifier
1063967016
Registry record updated Aug 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
Practice address
24255 Pacific Coast Hwy
Athletic Department
Malibu, CA 90263-3999
Phone
(310) 506-4169
Fax
(310) 506-4424
NPI assigned
Aug 19, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X CA Primary

Addresses

Primary practice location

24255 Pacific Coast Hwy
Athletic Department
Malibu, CA 90263-3999

Mailing address

24255 Pacific Coast Hwy
Athletic Department
Malibu, CA 90263-3999
Phone (310) 506-4169

Other names 1

  • Katie Sniffen Other name

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

NPI Registry JSON

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

{
    "created_epoch": "1471564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471564800000",
    "number": "1063967016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24255 PACIFIC COAST HWY",
            "address_2": "ATHLETIC DEPARTMENT",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "902633999",
            "telephone_number": "310-506-4169",
            "fax_number": "310-506-4424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24255 PACIFIC COAST HWY",
            "address_2": "ATHLETIC DEPARTMENT",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "902633999",
            "telephone_number": "310-506-4169",
            "fax_number": "310-506-4424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNIFFEN",
        "first_name": "KATHERINE",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-19",
        "last_updated": "2016-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "SNIFFEN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Malibu, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2016; 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.