Active NPI
Kelly A Unruh, MED, ATC
- Athletic Trainer
- Stroudsburg, PA
National Provider Identifier
1164501052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- RT001937A
- Practice address
- 1198 Chipperfield Drive
Stroudsburg Junior Hig School
Stroudsburg, PA 18360 - Phone
- (570) 424-4848
- NPI assigned
- Nov 3, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | RT001937A | PA | Primary |
Addresses
Primary practice location
1198 Chipperfield Drive
Stroudsburg Junior Hig School
Stroudsburg, PA 18360
Mailing address
448 Stokes Mill Road
Stroudsburg, PA 18360
Phone (570) 421-9062
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 Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RT001937A | PA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164501052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "448 STOKES MILL ROAD",
"city": "STROUDSBURG",
"state": "PA",
"postal_code": "18360",
"telephone_number": "570-421-9062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1198 CHIPPERFIELD DRIVE",
"address_2": "STROUDSBURG JUNIOR HIG SCHOOL",
"city": "STROUDSBURG",
"state": "PA",
"postal_code": "18360",
"telephone_number": "570-424-4848"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UNRUH",
"first_name": "KELLY",
"middle_name": "A",
"credential": "MED, ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "PA",
"license": "RT001937A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stroudsburg, PA
- Michelle Alison Townsend, LCSW
- John Michael Trangucci, MD
- Stephen Joseph Trbuza IV
- Catherine Turano, MSW
- Ultraprecise Teleradiology Services
- Heidi Faith Unterberg, LPC, NCC
- Chanakya Vadde, PHARMACIST
- Kristin Erin Vagnarelli, M.S., CCC-SLP
- Valley Health Partners Community Health Center
- Morgan Jae Van Solkema, PA-C
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.