Kelly Michelle Weir, AT, ATC, PES, CSCS

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2601000294 Issued in MI

Practice address

39450 W 12 Mile Rd
Novi, MI 48377-3600

Phone

(248) 344-2300

Fax

(248) 344-2301

NPI assigned

Jan 13, 2011

Last updated

Mar 23, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

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": "1294876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616457600000",
    "number": "1215232806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1418 SUNSET DR",
            "city": "WOLVERINE LAKE",
            "state": "MI",
            "postal_code": "483902348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39450 W 12 MILE RD",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483773600",
            "telephone_number": "248-344-2300",
            "fax_number": "248-344-2301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIR",
        "first_name": "KELLY",
        "middle_name": "MICHELLE",
        "credential": "AT, ATC, PES, CSCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-13",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MI",
            "license": "2601000294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kweir14730@direct.hfhs.org",
            "affiliation": "N",
            "address_1": "690 Amsterdam St",
            "city": "Detroit",
            "state": "MI",
            "country_code": "US",
            "postal_code": "482023410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alexis Weimer
• Ashley L Weinert, LLP, NCSP
• Melissa Weinert
• Leah Weinstein
• Tristan Weinzetl
• Nathan Weirauch, OTR/L
• Alicia Marie Weisensel, MS, LLP
• Weiss Chiropractic Life Center PLC (Weiss Chiropractic)
• Lawrence Robert Weiss, D.C.
• Maxwell Morris Weiss, DC

• Athletic Trainer in Novi, MI
• Providers in Novi, MI by specialty
• Athletic Trainer in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2021; 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.