Active NPI
Crystal Richey, ATC, LMT
- Athletic Trainer
- Kearney, MO
National Provider Identifier
1255088696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 2022000613
- Practice address
- 1804 Clear Creek Dr
Kearney, MO 64060-7615 - Phone
- (816) 695-5478
- NPI assigned
- Mar 6, 2022
- Last updated
- Mar 6, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 | 2022000613 | MO | Primary |
Addresses
Primary practice location
1804 Clear Creek Dr
Kearney, MO 64060-7615
Mailing address
1804 Clear Creek Dr
Kearney, MO 64060-7615
Phone (816) 695-5478
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 |
|---|---|---|---|
| 2022000613 | MO | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646524800000",
"number": "1255088696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1804 CLEAR CREEK DR",
"city": "KEARNEY",
"state": "MO",
"postal_code": "640607615",
"telephone_number": "816-695-5478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1804 CLEAR CREEK DR",
"city": "KEARNEY",
"state": "MO",
"postal_code": "640607615",
"telephone_number": "816-695-5478"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHEY",
"first_name": "CRYSTAL",
"credential": "ATC, LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-03-06",
"last_updated": "2022-03-06",
"certification_date": "2022-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MO",
"license": "2022000613",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kearney, MO
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- Matthew G Rivard, DDS
- Michael Kenneth Rogers, ARRT,R
- Karman Elise Romero, IBCLC
- David A Ruder, DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.