Kelly Ann Creasey, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

0126000316 Issued in VA

Practice address

7916 Williamson Rd
Roanoke, VA 24020-2002

Phone

(540) 362-6205

Fax

(540) 362-6553

NPI assigned

Mar 13, 2012

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

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": "1331596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331596800000",
    "number": "1225303076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9553",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240201553",
            "telephone_number": "540-362-6205",
            "fax_number": "540-362-6553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7916 WILLIAMSON RD",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240202002",
            "telephone_number": "540-362-6205",
            "fax_number": "540-362-6553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREASEY",
        "first_name": "KELLY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-13",
        "last_updated": "2012-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "VA",
            "license": "0126000316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James J. Crawford, M.D.
• Robert Seth Crawford, ATC
• Alicia A Crawley
• Donna Hicks Crawley
• Cornelis Kirk Craye, MD
• Gary Creasy, CEAP
• Creating Compassion, LLC
• Marie Shockley Creech, PA
• Charles Travis Cressell, N.P.
• Heidi Hannah Cressman, COTA

• Athletic Trainer in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Athletic Trainer in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2012; 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.