Active NPI
Chris M Kamm, MS, ATC, CSCS
- Athletic Trainer
- Decorah, IA
National Provider Identifier
1124340567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 000634
- Practice address
- 901 Montgomery St
Decorah, IA 52101-2325 - Phone
- (563) 387-3031
- NPI assigned
- Feb 26, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 000634 | IA | Primary |
| Athletic Trainer | 2255A2300X | 2037 | MN |
Addresses
Primary practice location
901 Montgomery St
Decorah, IA 52101-2325
Mailing address
303 3Rd Ave SW
Waukon, IA 52172-2106
Phone (563) 379-7495
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000634 | IA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267142400000",
"number": "1124340567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 3RD AVE SW",
"city": "WAUKON",
"state": "IA",
"postal_code": "521722106",
"telephone_number": "563-379-7495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 MONTGOMERY ST",
"city": "DECORAH",
"state": "IA",
"postal_code": "521012325",
"telephone_number": "563-387-3031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAMM",
"first_name": "CHRIS",
"middle_name": "M",
"credential": "MS, ATC, CSCS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-02-26",
"last_updated": "2010-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "IA",
"license": "000634",
"primary": true
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MN",
"license": "2037",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Decorah, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.