Vincent Paul Digiovanni, MS, L-ATC, CSCS

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

24-00392 Issued in KS

Practice address

10500 Lackman Rd
JC Penney Medical Office
Lenexa, KS 66219

Phone

(913) 541-2365

Fax

(913) 541-3108

NPI assigned

Dec 24, 2009

Sex

Male

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1261612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261612800000",
    "number": "1194054007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3738 SW HEREFORDSHIRE RD",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "66610",
            "telephone_number": "785-273-0330",
            "fax_number": "913-541-3108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10500 LACKMAN RD",
            "address_2": "JC PENNEY MEDICAL OFFICE",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "66219",
            "telephone_number": "913-541-2365",
            "fax_number": "913-541-3108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIGIOVANNI",
        "first_name": "VINCENT",
        "middle_name": "PAUL",
        "credential": "MS, L-ATC, CSCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-12-24",
        "last_updated": "2009-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "KS",
            "license": "24-00392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Athletic Trainer in Lenexa, KS
• Providers in Lenexa, KS by specialty
• Athletic Trainer in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2009; 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.