Active NPI
Kimberly Whitten, ATC,LAT
- Athletic Trainer
- Birmingham, AL
National Provider Identifier
1184834475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 960
- Practice address
- 800 Lakeshore Dr
Birmingham, AL 35229-0001 - Phone
- (205) 726-2574
- Fax
- (205) 726-4002
- NPI assigned
- May 23, 2007
- 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 | 960 | AL | Primary |
Addresses
Primary practice location
800 Lakeshore Dr
Birmingham, AL 35229-0001
Mailing address
1617 Wildwood Crossings
Birmingham, AL 35211-6410
Phone (813) 786-7181
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 |
|---|---|---|---|
| 960 | AL | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1184834475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1617 WILDWOOD CROSSINGS",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352116410",
"telephone_number": "813-786-7181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 LAKESHORE DR",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352290001",
"telephone_number": "205-726-2574",
"fax_number": "205-726-4002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITTEN",
"first_name": "KIMBERLY",
"name_prefix": "Miss",
"credential": "ATC,LAT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "AL",
"license": "960",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Birmingham, AL
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.