Christina Danielle Kelley, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT5270 Issued in TX

Practice address

7912 Irish Dr
North Richland Hills, TX 76180-5738

Phone

(817) 903-6878

NPI assigned

Dec 29, 2013

Last updated

Sep 23, 2020By the provider in NPPES

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": "1388275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600819200000",
    "number": "1194146746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7912 IRISH DR",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761805738",
            "telephone_number": "817-903-6878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7912 IRISH DR",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761805738",
            "telephone_number": "817-903-6878"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 S Main St",
            "address_purpose": "LOCATION",
            "city": "Boiling Springs",
            "state": "NC",
            "postal_code": "280179797",
            "country_code": "US",
            "telephone_number": "817-903-6878",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "CHRISTINA",
        "middle_name": "DANIELLE",
        "name_prefix": "Ms.",
        "credential": "LAT, ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-29",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NC",
            "license": "2165",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "AT5270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Osler Kamath, D.C.
• Prasad Venkata Kannaeganti, MD
• Corry Karlen, ATC, LAT
• Eileen Kaufman, LCSW
• Bettina Karin Kell Rodriguez, M.ED, LPC
• Mary Catherine Kelly, AUD
• Zina Kelly
• Valerie Elaine Kelso
• Anil Kumar Kesani, M.D.
• Gary L Kesling, PH.D.

• Athletic Trainer in North Richland Hills, TX
• Providers in North Richland Hills, TX by specialty
• Athletic Trainer in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.