Active NPI
Razhane Kelecce Kelecce Nicole Andrews
- Athletic Trainer
- Huntington, WV
National Provider Identifier
1083250328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 209 19TH St Apt 15
Huntington, WV 25703-1145 - Phone
- (304) 429-9174
- NPI assigned
- Nov 21, 2019
- 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 | WV | Primary |
Addresses
Primary practice location
209 19TH St Apt 15
Huntington, WV 25703-1145
Mailing address
209 19TH St Apt 15
Huntington, WV 25703-1145
Phone (304) 429-9174
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": "1574294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574294400000",
"number": "1083250328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "209 19TH ST APT 15",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "257031145",
"telephone_number": "304-429-9174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "209 19TH ST APT 15",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "257031145",
"telephone_number": "304-429-9174"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDREWS",
"first_name": "RAZHANE KELECCE",
"middle_name": "KELECCE NICOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-21",
"last_updated": "2019-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "WV",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntington, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.