Active NPI
Kaitlyn Dannibale, DAT ATC LAT
- Athletic Trainer
- Washington, DC
National Provider Identifier
1093071409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- A0000321
- Practice address
- 3535 V St NE
Washington, DC 20018-1530 - Phone
- (202) 427-5326
- NPI assigned
- Apr 10, 2012
- 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 | A0000321 | MD | Primary |
Addresses
Primary practice location
3535 V St NE
Washington, DC 20018-1530
Mailing address
3535 V St NE
Washington, DC 20018-1530
Other practice location 1
2000 Medical Pkwy Ste 1
Annapolis, MD 21401-3742
Phone (410) 268-8862
Other practice location 2
14000 Jericho Park Rd
Bowie, MD 20715-3319
Phone (301) 860-3581
Other practice location 3
14000 Jericho Park Rd
Bowie, MD 20715-3319
Phone (301) 860-3581
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 |
|---|---|---|---|
| A0000321 | MD | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Varsity Professional Rehabilitation and Staffing, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Sports Physical Therapist
- Bowie, MD
- NPI 1841534468
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714780800000",
"number": "1093071409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3535 V ST NE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200181530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3535 V ST NE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200181530",
"telephone_number": "202-427-5326"
}
],
"practiceLocations": [
{
"address_1": "2000 Medical Pkwy Ste 1",
"address_purpose": "LOCATION",
"city": "Annapolis",
"state": "MD",
"postal_code": "214013742",
"country_code": "US",
"telephone_number": "410-268-8862",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "14000 Jericho Park Rd",
"address_purpose": "LOCATION",
"city": "Bowie",
"state": "MD",
"postal_code": "207153319",
"country_code": "US",
"telephone_number": "301-860-3581",
"fax_number": "301-860-3585",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "14000 Jericho Park Rd",
"address_purpose": "LOCATION",
"city": "Bowie",
"state": "MD",
"postal_code": "207153319",
"country_code": "US",
"telephone_number": "301-860-3581",
"fax_number": "301-860-3585",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DANNIBALE",
"first_name": "KAITLYN",
"name_prefix": "Dr.",
"credential": "DAT ATC LAT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-10",
"last_updated": "2024-05-04",
"certification_date": "2024-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MD",
"license": "A0000321",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.