Active NPI
Kaitlin Elizabeth Kneisel, A.T.C
- Athletic Trainer
- Columbus, OH
National Provider Identifier
1225308034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT.003752
- Practice address
- 535 Irving Schottenstein Dr
Columbus, OH 43210-1044 - Phone
- (614) 292-1165
- NPI assigned
- Jan 10, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AT.003752 | OH | Primary |
Addresses
Primary practice location
535 Irving Schottenstein Dr
Columbus, OH 43210-1044
Mailing address
5605 Blue Lagoon LN
Hilliard, OH 43026-9039
Phone (248) 921-6891
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT.003752 | OH | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326153600000",
"number": "1225308034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5605 BLUE LAGOON LN",
"city": "HILLIARD",
"state": "OH",
"postal_code": "430269039",
"telephone_number": "248-921-6891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "535 IRVING SCHOTTENSTEIN DR",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432101044",
"telephone_number": "614-292-1165"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNEISEL",
"first_name": "KAITLIN",
"middle_name": "ELIZABETH",
"credential": "A.T.C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-01-10",
"last_updated": "2012-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "OH",
"license": "AT.003752",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.