Kelly A Hatzmann, ATC, L

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

001242 Issued in NY

Practice address

188 Oakwood Rd
Huntington, NY 11743-4235

Phone

(631) 673-2018

NPI assigned

May 1, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kelly Ann Weinisch Former name

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": "1525132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525132800000",
    "number": "1285122606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 CARROLL AVE",
            "city": "LAKE RONKONKOMA",
            "state": "NY",
            "postal_code": "117794231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 OAKWOOD RD",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117434235",
            "telephone_number": "631-673-2018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATZMANN",
        "first_name": "KELLY",
        "middle_name": "A",
        "credential": "ATC, L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-01",
        "last_updated": "2018-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NY",
            "license": "001242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "WEINISCH",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Harold German M.D.P.C.
• Radikha Harricharran
• Keith Lloyd Harris, MD
• Patricia A Hartley-Ferrandino, LCSW
• Steven Daved Hartman, PSY.D.
• Beverly T Hauck, R.D.
• Ashley Victoria Hauer
• Evelyn Haughwout, LCSW
• Isaac Haviv
• Julianne Hayes, PSY.D.

• Athletic Trainer in Huntington, NY
• Providers in Huntington, NY by specialty
• Athletic Trainer in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2018; 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.