Active NPI
Amber Dawn Kivett, LAT, ATC, CSCS, OTC
- Athletic Trainer
- Danville, IN
National Provider Identifier
1184775017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 36000912A
- Practice address
- 1000 E Main St
Danville, IN 46122-1948 - Phone
- (317) 745-3420
- Fax
- (317) 745-8340
- NPI assigned
- Jan 16, 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 | 36000912A | IN | Primary |
Addresses
Primary practice location
1000 E Main St
Danville, IN 46122-1948
Mailing address
5727 W McClure Road
Monrovia, IN 46157
Phone (317) 996-3713
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 |
|---|---|---|---|
| 36000912A | IN | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1184775017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5727 W MCCLURE ROAD",
"city": "MONROVIA",
"state": "IN",
"postal_code": "46157",
"telephone_number": "317-996-3713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 E MAIN ST",
"city": "DANVILLE",
"state": "IN",
"postal_code": "461221948",
"telephone_number": "317-745-3420",
"fax_number": "317-745-8340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIVETT",
"first_name": "AMBER",
"middle_name": "DAWN",
"name_prefix": "Mrs.",
"credential": "LAT, ATC, CSCS, OTC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "IN",
"license": "36000912A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Danville, IN
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.