Kristen M Maurer, ATC, PTA

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT003797 Issued in OH

Practice address

500 Medical Park Dr
Dover, OH 44622-3204

Phone

(330) 204-6329

NPI assigned

Aug 17, 2020

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

Electronic endpoints 1

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": "1597622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597622400000",
    "number": "1285246868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 MEDICAL PARK DR",
            "city": "DOVER",
            "state": "OH",
            "postal_code": "446223204",
            "telephone_number": "330-204-6329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 MEDICAL PARK DR",
            "city": "DOVER",
            "state": "OH",
            "postal_code": "446223204",
            "telephone_number": "330-204-6329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAURER",
        "first_name": "KRISTEN",
        "middle_name": "M",
        "credential": "ATC, PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-17",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "OH",
            "license": "AT003797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "maurerk2@ccf.org",
            "affiliation": "N",
            "endpointDescription": "Work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "500 Medical Park Dr",
            "city": "Dover",
            "state": "OH",
            "country_code": "US",
            "postal_code": "446223204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Brent Marshall
• Staci Marie Marshall, CNP
• Stacy Martin
• Diana Mast, RN
• Katheryn M Maurer, CDCA
• Renee Lynn Maurer
• Jennifer Elizabeth McCaslin, LPC
• Whitney McClintock, APRN
• Cassandra A McConnell, LPN
• Christopher G McConnell, L.M.T.

• Athletic Trainer in Dover, OH
• Providers in Dover, OH by specialty
• Athletic Trainer in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2020; 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.