Active NPI
Sarah Kennedy, LAT, ATC, PES
- Athletic Trainer
- Des Moines, IA
National Provider Identifier
1073107959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 088193
- Practice address
- 450 Laurel St Ste B
Des Moines, IA 50314-3045 - Phone
- (217) 502-2740
- NPI assigned
- Feb 22, 2021
- 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 | 088193 | IA | Primary |
Addresses
Primary practice location
450 Laurel St Ste B
Des Moines, IA 50314-3045
Mailing address
720 SE Rosewood LN Unit 12
Grimes, IA 50111-4274
Phone (217) 502-2740
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 |
|---|---|---|---|
| 088193 | IA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613952000000",
"number": "1073107959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 SE ROSEWOOD LN UNIT 12",
"city": "GRIMES",
"state": "IA",
"postal_code": "501114274",
"telephone_number": "217-502-2740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 LAUREL ST STE B",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503143045",
"telephone_number": "217-502-2740"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNEDY",
"first_name": "SARAH",
"credential": "LAT, ATC, PES",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-22",
"last_updated": "2021-02-22",
"certification_date": "2021-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "IA",
"license": "088193",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.