Madison Theresa Kump, ATC, SCAT, NREMT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

701 E 17TH St
Bloomington, IN 47408-1578

Phone

(317) 771-2661

NPI assigned

Nov 22, 2022

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

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

{
    "created_epoch": "1669075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1194434787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8960 WOODLARK DR",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460384543",
            "telephone_number": "317-771-2661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E 17TH ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474081578",
            "telephone_number": "317-771-2661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUMP",
        "first_name": "MADISON",
        "middle_name": "THERESA",
        "credential": "ATC, SCAT, NREMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-22",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "IN",
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Mark Kuhn, MSNANP
• Michael Lamar Kukulka
• Kavya Kumar, RBT
• Pooja Kumar, D.D.S
• Priya P. Kumar, MD
• John P Kunze, RBT
• Audra Janice Kunzman-Mazdzer, MD
• Melinda Blair Kurrus, OTR
• H Michelle Kuzmits, RPH
• Andrew Kwon, OD

• Athletic Trainer in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Athletic Trainer in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; 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.