Active NPI
Crystal Dawn Kjar, ATC
- Athletic Trainer
- Lincoln, NE
National Provider Identifier
1073532628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 264
- Practice address
- 7001 S 14TH St
Lincoln Southwest High School
Lincoln, NE 68512-9200 - Phone
- (402) 436-1306
- Fax
- (402) 436-1875
- NPI assigned
- Jul 18, 2006
- 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 | 264 | NE | Primary |
Addresses
Primary practice location
7001 S 14TH St
Lincoln Southwest High School
Lincoln, NE 68512-9200
Mailing address
7540 Brummond Dr
Lincoln, NE 68516-5826
Phone (402) 202-3184
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 |
|---|---|---|---|
| 264 | NE | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573689600000",
"number": "1073532628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7540 BRUMMOND DR",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685165826",
"telephone_number": "402-202-3184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7001 S 14TH ST",
"address_2": "LINCOLN SOUTHWEST HIGH SCHOOL",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685129200",
"telephone_number": "402-436-1306",
"fax_number": "402-436-1875"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KJAR",
"first_name": "CRYSTAL",
"middle_name": "DAWN",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-18",
"last_updated": "2019-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NE",
"license": "264",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.