Jill Renee Kistler, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

000622 Issued in OH

Practice address

1296 Tod PL NW
Suite 208
Warren, OH 44485-2474

Phone

(330) 306-5018

Fax

(330) 306-5021

NPI assigned

Sep 23, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Mercy Health Youngstown LLC

  • Durable Medical Equipment & Medical Supplies
  • Youngstown, OH
  • NPI 1245180785
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093815748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1399 MILLIKIN PL NE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444834451",
            "telephone_number": "330-372-4580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1296 TOD PL NW",
            "address_2": "SUITE 208",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444852474",
            "telephone_number": "330-306-5018",
            "fax_number": "330-306-5021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISTLER",
        "first_name": "JILL",
        "middle_name": "RENEE",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "OH",
            "license": "000622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bridget Kirby
• Lindsey Kirila, RDN
• Nakia Kirk
• Hans Werner Kirr, PT
• Heather Leigh Kish, L.P.N.
• Devone' Kitchen, CDCA I
• Matthew J Kittle
• Diane C Kleeh, MSW
• Anissa M Klein, LPN
• Erin Klekot, M.D.

• Athletic Trainer in Warren, OH
• Providers in Warren, OH by specialty
• Athletic Trainer in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.