Individual provider Active NPI

Kara Lynn Dolling, MS, ATC, CSCS, PES

  • Athletic Trainer
  • Gates Mills, OH
National Provider Identifier
1265560239
Registry record updated Sep 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
004204 Issued in OH
Practice address
34001 Cedar Rd
Gates Mills, OH 44040-9355
Phone
(440) 473-8181
Fax
(440) 684-4509
NPI assigned
Mar 1, 2007
Last updated
Sep 24, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 004204 OH Primary

Addresses

Primary practice location

34001 Cedar Rd
Gates Mills, OH 44040-9355

Mailing address

PO Box 342
Gates Mills, OH 44040-0342
Phone (440) 473-8181

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
004204OHMDSurgical Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411516800000",
    "number": "1265560239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 342",
            "city": "GATES MILLS",
            "state": "OH",
            "postal_code": "440400342",
            "telephone_number": "440-473-8181",
            "fax_number": "440-684-4509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34001 CEDAR RD",
            "city": "GATES MILLS",
            "state": "OH",
            "postal_code": "440409355",
            "telephone_number": "440-473-8181",
            "fax_number": "440-684-4509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLLING",
        "first_name": "KARA",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "MS, ATC, CSCS, PES",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2014-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "OH",
            "license": "004204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gates Mills, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2014; 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.