Individual provider Active NPI

Kimberly B Isaac, ATC

  • Athletic Trainer
  • Cincinnati, OH
National Provider Identifier
1235865049
Registry record updated Jul 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
AT002893 Issued in OH
Practice address
1250 W Kemper Rd
Cincinnati, OH 45240-1618
Phone
(513) 742-0880
NPI assigned
Jul 26, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic TrainerGroup: 193400000X SINGLE SPECIALTY GROUP 2255A2300X AT002893 OH Primary

Addresses

Primary practice location

1250 W Kemper Rd
Cincinnati, OH 45240-1618

Mailing address

1250 W Kemper Rd
Cincinnati, OH 45240-1618
Phone (513) 742-0880

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

LicenseStateTypeSpecialty
AT002893OHMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
F.P.Chiro, Inc. Single Specialty CurrentSince Jul 31, 2022 Accepting new patients
RJF Chiropractic Center, Inc. Single Specialty PastSince Jul 31, 2022 Accepting new patients

Locations

1250 W Kemper Rd
Cincinnati, OH 45240
Phone (513) 742-0880

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1658793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658793600000",
    "number": "1235865049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 W KEMPER RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452401618",
            "telephone_number": "513-742-0880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 W KEMPER RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452401618",
            "telephone_number": "513-742-0880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISAAC",
        "first_name": "KIMBERLY",
        "middle_name": "B",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-26",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "OH",
            "license": "AT002893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2022; 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.