Individual provider Active NPI

Kristen M Hollis, ATC

  • Athletic Trainer
  • Sidney, OH
National Provider Identifier
1104320571
Registry record updated Mar 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
Practice address
915 Michigan St
Sidney, OH 45365-2401
Phone
(937) 498-2311
NPI assigned
Mar 21, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X Primary

Addresses

Primary practice location

915 Michigan St
Sidney, OH 45365-2401

Mailing address

16900 McClosky School Rd
Sidney, OH 45365-9410

Other practice location 1

915 Michigan St
Sidney, OH 45365-2401
Phone (937) 498-2311

Other practice location 2

915 W Michigan St
Sidney, OH 45365
Phone (937) 498-2311

Other practice location 3

915 Michigan St
Sidney, OH 45365-2401
Phone (937) 498-2311

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": "1521590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521590400000",
    "number": "1104320571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16900 MCCLOSKY SCHOOL RD",
            "city": "SIDNEY",
            "state": "OH",
            "postal_code": "453659410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 MICHIGAN ST",
            "city": "SIDNEY",
            "state": "OH",
            "postal_code": "453652401",
            "telephone_number": "937-498-2311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "915 Michigan St",
            "address_purpose": "LOCATION",
            "city": "Sidney",
            "state": "OH",
            "postal_code": "453652401",
            "country_code": "US",
            "telephone_number": "937-498-2311",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "915 W Michigan St",
            "address_purpose": "LOCATION",
            "city": "Sidney",
            "state": "OH",
            "postal_code": "45365",
            "country_code": "US",
            "telephone_number": "937-498-2311",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "915 Michigan St",
            "address_purpose": "LOCATION",
            "city": "Sidney",
            "state": "OH",
            "postal_code": "453652401",
            "country_code": "US",
            "telephone_number": "937-498-2311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLLIS",
        "first_name": "KRISTEN",
        "middle_name": "M",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-21",
        "last_updated": "2018-03-21",
        "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 Sidney, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2018; 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.