Kerry Lyn Wilbar, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT1150 Issued in TN

Practice address

2601 Jess Neely Dr
Nashville, TN 37212-2039

Phone

(615) 343-5744

Fax

(615) 343-2592

NPI assigned

Feb 24, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1172275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584576000000",
    "number": "1174659320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 JESS NEELY DR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372122039",
            "telephone_number": "615-343-5744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 JESS NEELY DR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372122039",
            "telephone_number": "615-343-5744",
            "fax_number": "615-343-2592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILBAR",
        "first_name": "KERRY",
        "middle_name": "LYN",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-24",
        "last_updated": "2020-03-19",
        "certification_date": "2020-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "PA",
            "license": "RT003789",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TN",
            "license": "AT1150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph P Wiggs, D.D.S.
• Charlotte D Wight
• Lisa Wigton, PT
• Ashley Wike
• Joseph Wikel
• Jennifer L. Wilbeck, NP
• Anthony Devonte Wilbert, MD
• Glen M Wilbur, LCSW
• Doneisha Wilburn
• Emahlea Wilcher

• Athletic Trainer in Nashville, TN
• Providers in Nashville, TN by specialty
• Athletic Trainer in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2020; 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.