Kerianne Marie Richardson, MS, ATC, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

ATR-LAT-LIC-1524 Issued in MT

Practice address

205 Sunnyview LN
Kalispell, MT 59901-3120

Phone

(406) 925-0968

NPI assigned

Aug 23, 2017

Last updated

Aug 23, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1503446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503446400000",
    "number": "1144747965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 VISTA LOOP",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599012542",
            "telephone_number": "406-925-0968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 SUNNYVIEW LN",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013120",
            "telephone_number": "406-925-0968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "KERIANNE",
        "middle_name": "MARIE",
        "credential": "MS, ATC, LAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-23",
        "last_updated": "2017-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MT",
            "license": "ATR-LAT-LIC-1524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rejuvecare Clinic
• Mark C Remington, M.D.
• Heidi Love Rendina, NBCHWC
• Rhonda Leigh Vick, LCSW, LLC
• Alan Michael Rice, MD
• Sara Richardson, AGCNS
• Tori Richardson, OTR/L
• Laura June Richey, RD
• Karen H. Rickert, DO
• Ridgeline Therapy LLC.

• Athletic Trainer in Kalispell, MT
• Providers in Kalispell, MT by specialty
• Athletic Trainer in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2017; 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.