Active NPI
Kelly Jane Wilichoski, A.T.,C.
- Athletic Trainer
- Somersworth, NH
National Provider Identifier
1154456028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 243
- Practice address
- 237 Route 108 Ste 101
Somersworth, NH 03878-1517 - Phone
- (603) 749-6686
- NPI assigned
- Feb 22, 2007
- Last updated
- Jul 8, 2007
- 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 | 243 | NH | Primary |
Addresses
Primary practice location
237 Route 108 Ste 101
Somersworth, NH 03878-1517
Mailing address
833 Portsmouth Ave
Greenland, NH 03840-2134
Phone (603) 969-3314
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 |
|---|---|---|---|
| 243 | NH | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1154456028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "833 PORTSMOUTH AVE",
"city": "GREENLAND",
"state": "NH",
"postal_code": "038402134",
"telephone_number": "603-969-3314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "237 ROUTE 108 STE 101",
"city": "SOMERSWORTH",
"state": "NH",
"postal_code": "038781517",
"telephone_number": "603-749-6686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILICHOSKI",
"first_name": "KELLY",
"middle_name": "JANE",
"name_prefix": "Ms.",
"credential": "A.T.,C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NH",
"license": "243",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Somersworth, NH
- Wentworth Home Care and Hospice, LLC (Wentworth Home Care and Hospice, an Amedisys Partner)
- Wentworth Home Care and Hospice, LLC (Wentworth Home Care and Hospice, an Amedisys Partner)
- Wentworth Surgery Center, LLC
- Kristian Ann June West, PT, DPT
- Jessica Whitten
- Martin R Williams Jr.
- Brian S Wilson, PA-C
- Kristin M Wilson, OTR
- Sarah Wilson
- Wise Mind Medication Management
Sources for this page
- 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.