Active NPI
Katheryn Nicole Schultz
- Athletic Trainer
- Fort Bragg, NC
National Provider Identifier
1073254447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 2298 Longstreet Rd a
Fort Bragg, NC 28310-7541 - Phone
- (910) 396-2792
- NPI assigned
- Apr 7, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 | Primary |
Addresses
Primary practice location
2298 Longstreet Rd a
Fort Bragg, NC 28310-7541
Mailing address
250 Marsh Haven Dr
Sneads Ferry, NC 28460-7541
Other practice location 1
250 Marsh Haven Dr
Sneads Ferry, NC 28460-7541
Phone (503) 334-9744
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": "1649289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658880000000",
"number": "1073254447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 MARSH HAVEN DR",
"city": "SNEADS FERRY",
"state": "NC",
"postal_code": "284607541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2298 LONGSTREET RD A",
"city": "FORT BRAGG",
"state": "NC",
"postal_code": "283107541",
"telephone_number": "910-396-2792"
}
],
"practiceLocations": [
{
"address_1": "250 Marsh Haven Dr",
"address_purpose": "LOCATION",
"city": "Sneads Ferry",
"state": "NC",
"postal_code": "284607541",
"country_code": "US",
"telephone_number": "503-334-9744",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCHULTZ",
"first_name": "KATHERYN",
"middle_name": "NICOLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-04-07",
"last_updated": "2022-07-27",
"certification_date": "2022-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Bragg, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.