Kelly Danielle Cich

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2014 Issued in TN

Practice address

615 McCallie Ave Dept 3503
Chattanooga, TN 37403-2504

Phone

(423) 425-4275

NPI assigned

Nov 16, 2016

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": "1479254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479254400000",
    "number": "1235671611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 MCCALLIE AVE DEPT 3503",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374032504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 MCCALLIE AVE DEPT 3503",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374032504",
            "telephone_number": "423-425-4275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CICH",
        "first_name": "KELLY",
        "middle_name": "DANIELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-16",
        "last_updated": "2016-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TN",
            "license": "2014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolyn Chung
• Michael Young-Woon Chung, MD
• Surachart Chuthai, M.D.
• Danielle Ciabattone, PA-C
• Anthony Joseph Ciampoli, DO
• Rebecca Joyce Cicha, PH.D.
• Renee Cimpanu, MD
• Brandon A Cincere, M.D.
• Nicholas Joseph Circolone, DC
• Colin Riley Clanton, MD

• Athletic Trainer in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Athletic Trainer in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2016; 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.