Katherine M. Bagnato, ATC, OTC, CEAS

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

LAT-2924 Issued in NC

Practice address

5825 Carnegie Blvd
Charlotte, NC 28209-4633

Phone

(609) 377-7310

NPI assigned

Jun 29, 2006

Last updated

Mar 1, 2017By 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 3

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": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488326400000",
    "number": "1215965926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5825 CARNEGIE BLVD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282094633",
            "telephone_number": "609-377-7310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5825 CARNEGIE BLVD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282094633",
            "telephone_number": "609-377-7310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGNATO",
        "first_name": "KATHERINE",
        "middle_name": "M.",
        "name_prefix": "Ms.",
        "credential": "ATC, OTC, CEAS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-29",
        "last_updated": "2017-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NJ",
            "license": "25MT00056400",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NC",
            "license": "LAT-2924",
            "primary": true
        },
        {
            "code": "246Z00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other",
            "state": "NJ",
            "license": "25MT00056400",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Baggott, LCSWA
• Farbod Baghaei
• Kiri Wiggins Bagley, M.D.
• Sarah Kathryn Bagley, PA-C
• Karen E Bagnasco, SLP
• Lonnie Robert Bagwell II, D.C.
• Ali Masih Baher, DO
• Azita Bahrami, DO
• Devan Baijal, DO
• Nalini Shrimattie Baijnath, M.D.

• Athletic Trainer in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Athletic Trainer in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2017; 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.