Active NPI
Jeffrey Scott Kime, ATC
- Athletic Trainer
- Twinsburg, OH
National Provider Identifier
1164546990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT000769
- Practice address
- 8701 Darrow Rd
TWG1-3
Twinsburg, OH 44087-2105 - Phone
- (216) 225-9692
- NPI assigned
- Mar 19, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AT000769 | OH | Primary |
Addresses
Primary practice location
8701 Darrow Rd
TWG1-3
Twinsburg, OH 44087-2105
Mailing address
8701 Darrow Rd
TWG1-3
Twinsburg, OH 44087-2105
Phone (216) 225-9692
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 |
|---|---|---|---|
| AT000769 | OH | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410220800000",
"number": "1164546990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8701 DARROW RD",
"address_2": "TWG1-3",
"city": "TWINSBURG",
"state": "OH",
"postal_code": "440872105",
"telephone_number": "216-225-9692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8701 DARROW RD",
"address_2": "TWG1-3",
"city": "TWINSBURG",
"state": "OH",
"postal_code": "440872105",
"telephone_number": "216-225-9692"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIME",
"first_name": "JEFFREY",
"middle_name": "SCOTT",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-19",
"last_updated": "2014-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "OH",
"license": "AT000769",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Twinsburg, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.